Dr. Siddharth Bansal is a Chicago, Illinois based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Siddharth Bansal is 019028736 for Dentistry in Illinois. His current practice location is 6636 S Pulaski Rd, Chicago. Patients can reach him at 352-872-8066.
Dr. Siddharth Bansal is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Siddharth Bansal speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Siddharth Bansal
Specialization:
Dentist
Gender:
Male
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
6636 S Pulaski Rd, Chicago, Illinois, 60629-5138
Phone:
352-872-8066
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1598053837
NPI Enumeration Date:
20 Jul, 2011
NPI Last Update On:
20 Jul, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Siddharth Bansal are as mentioned below.
License Number
Specialization
State
Status
019028736
Dentistry
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Siddharth Bansal such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
12
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6636 South Pulaski, Chicago, Illinois
Zip:
60629
Phone Number:
352-872-8066
Patients can reach Dr. Siddharth Bansal at 6636 S Pulaski Rd, Chicago, Illinois or can call to book an appointment on 352-872-8066. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.