4 STAR DENTAL
NPI 1285144493
Clinic/Center - Dental in Woodridge, IL

NPI Status: Active since October 03, 2017

Contact Information

2309 63RD ST
WOODRIDGE, IL
ZIP 60517
Phone: (630) 869-0063
Fax: (630) 296-8966

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  • Organization
  • Clinic/Center
  • Dental

About 4 STAR DENTAL

This page provides the complete NPI Profile along with additional information for 4 Star Dental, a provider established in Woodridge, Illinois operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1285144493 assigned on October 2017. The practitioner's primary taxonomy code is 261QD0000X with license number 019.026417 (IL). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as 4 Star Dental. The authorized official of this NPI record is Dr. Jacqueline Blasko Dmd (Dentist/partner)

NPI
1285144493
Provider Legal Name
DENTAL PARTNERS OF WOODRIDGE LLC
Other Organization Name
4 STAR DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2309 63RD ST WOODRIDGE, IL 60517
Location Phone
(630) 869-0063
Location Fax
(630) 296-8966
Mailing Address
2309 63RD ST WOODRIDGE, IL 60517
Mailing Phone
(630) 869-0063
Mailing Fax
(630) 296-8966
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-03-2017
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
019.026417
License State
IL

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JACQUELINE BLASKO DMD

Authorized Official Title
DENTIST/PARTNER
Authorized Official Phone
(630) 869-0063

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285144493
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165248418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 2 + 4 + 8 + 4 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1285144493 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730521170DR. SANDRA W CHUNG DMD
Individual
Dentist2309 63RD ST
WOODRIDGE, IL 60517
(630) 869-0063
1154146447 NOOR RIYAL
Individual
Dental Hygienist2309 63RD ST
WOODRIDGE, IL 60517
(331) 425-0162

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285144493, enumerated in the NPI registry as an "organization" on October 03, 2017

The provider is located at 2309 63rd St Woodridge, Il 60517 and the phone number is (630) 869-0063

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

This NPI record was last updated on October 03, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.