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OLD TOWN DENTAL ASSOCIATES LTD
NPI 1801859137
Dentist - General Practice in Crete, IL

Active since April 08, 2006

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Old Town Dental Associates Ltd NPPES

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

OLD TOWN DENTAL ASSOCIATES LTD (NPI 1801859137) is a healthcare organization registered as a general practice in Crete, Illinois and active in the NPI registry since April 2006. The organization lists Angela R. Bammann, Pres, as its authorized official.

NPPES Registry Identity

NPI1801859137
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOLD TOWN DENTAL ASSOCIATES LTD
Location Address1397 MAIN STCrete, IL 60417-2951
Mailing Address1397 Main St, P.o.box 37Crete, IL 60417-2951 · (708) 672-5353
Phone(708) 672-5353
Organization SubpartNo
Authorized OfficialAngela R. BammannPres · (708) 672-5353
Enumeration DateApril 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1801859137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1397 MAIN ST, Crete, IL 60417
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

BARBARA GERK
Physical Therapist
1397 MAIN ST
CRETE, IL 60417
Will County (708) 367-8050
INDEPENDENCE PHYSICAL THERAPY, PC
Physical Therapist
1397 MAIN ST
CRETE, IL 60417
Will County (708) 367-8050
ALLEN DOUGLAS BURT C.R.
Reflexologist
1397 MAIN ST, SUITE B
CRETE, IL 60417
Will County (708) 672-4773
DR. CHRISTINE PONG PT, DPT, OCS
Physical Therapist
1397 MAIN ST
CRETE, IL 60417
Will County (708) 367-8050

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 Old Town Dental Associates Ltd's NPI number?

The NPI number for Old Town Dental Associates Ltd is 1801859137. It was assigned to this organization in the NPPES registry on April 8, 2006.

Where is Old Town Dental Associates Ltd located?

Old Town Dental Associates Ltd is located at 1397 Main St, Crete, IL 60417. The listed phone number is (708) 672-5353.

What is Old Town Dental Associates Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Old Town Dental Associates Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.