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PREMIER DENTAL CARE ILLINOIS INC
NPI 1255985669
Clinic/Center - Dental in Evanston, IL

Active since July 25, 2019
1819 CHURCH ST, EVANSTON, IL 60201(847) 866-7430 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premier Dental Care Illinois Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER DENTAL CARE ILLINOIS INC (NPI 1255985669) is a healthcare organization registered as a dental in Evanston, Illinois and active in the NPI registry since July 2019. The organization lists Hidayathulla Khan, Owner, as its authorized official.

NPPES Registry Identity

NPI1255985669
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePREMIER DENTAL CARE ILLINOIS INC
Location Address1819 CHURCH STEvanston, IL 60201-3415
Mailing Address1819 Church StEvanston, IL 60201-3415 · (847) 866-7430
Phone(847) 866-7430
Organization SubpartNo
Authorized OfficialHidayathulla KhanOwner · (224) 443-4988
Enumeration DateJuly 25, 2019
✔ NPI 1255985669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1819 CHURCH ST, Evanston, IL 60201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HAE Y YOON DDS
Dentist
1819 CHURCH ST
EVANSTON, IL 60201
Cook County (847) 866-7430
HEATHER YOON DDS, PC
Dentist
1819 CHURCH ST
EVANSTON, IL 60201
Cook County (847) 866-7430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Dental Care Illinois Inc's NPI number?

The NPI number for Premier Dental Care Illinois Inc is 1255985669. It was assigned to this organization in the NPPES registry on July 25, 2019.

Where is Premier Dental Care Illinois Inc located?

Premier Dental Care Illinois Inc is located at 1819 Church St, Evanston, IL 60201. The listed phone number is (847) 866-7430.

What is Premier Dental Care Illinois Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Premier Dental Care Illinois Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Premier Dental Care Illinois Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premier Dental Care Illinois Inc was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.