Mehta, Ashish

Mehta, Ashish is an individual health care provider with primary practice located at 2965 S Macarthur Blvd Suite B, Springfield IL 62704-5018. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mehta, Ashish can be contacted via phone (217) 793-6909.

Contact Information

Primary practice address
2965 S Macarthur Blvd Suite B Springfield IL 62704-5018
Phone: (217) 793-6909
Fax: (217) 793-6995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois

Profile Details

NPI number 1891827499
LBN Legal business name Mehta, Ashish
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 18 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 1891827499 NPPES
Illinois MEDICAID 9181509

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