MEDICARE: TAMBRINI DENTAL CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1578405494
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAMBRINI DENTAL CARE LLC

Provider Business Mailing Address
First Line	:	21195 S LAGRANGE RD STE 2D
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-2045
Country	:	US
Telephone Number	:	815-469-3166
Fax Number	:

Provider Business Practice Location Address
First Line	:	21195 S LAGRANGE RD STE 2D
Second Line	:
City	:	FRANKFORT
State	:	IL
Zip	:	60423-2045
Country	:	US
Telephone Number	:	815-469-3166
Fax Number	:

Authorized Official
Title or Position	:	DENTIST, PRESIDENT
Name	:	DR. SETH TAMBRINI
Credential	:	DDS
Telephone Number	:	219-629-9910

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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