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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487642302 NPPES
Illinois MEDICAID 201725665-60563-01

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