Agarwal, Deepak
Agarwal, Deepak is an individual health care provider with primary practice located at 1163 E Ogden Ave Ste 403 , Naperville IL 60563-8532. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Agarwal, Deepak can be contacted via phone (630) 416-0780.Contact Information
Primary practice address
1163 E Ogden Ave Ste 403
Naperville IL 60563-8532
Phone: (630) 416-0780
Fax: (630) 416-6938
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019-025771 | Illinois |
Profile Details
| NPI number | 1487642302 |
|---|---|
| LBN Legal business name | Agarwal, Deepak |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Dec 10th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487642302 | NPPES |
| Illinois | MEDICAID | 201725665-60563-01 |
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