Healthcare Provider Details

I. General information

NPI: 1316883945
Provider Name (Legal Business Name): AURORA DENTRIX DOWNTOWN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 E DOWNER PL
AURORA IL
60505-3340
US

IV. Provider business mailing address

57 E DOWNER PL
AURORA IL
60505-3340
US

V. Phone/Fax

Practice location:
  • Phone: 630-859-8686
  • Fax: 224-513-6504
Mailing address:
  • Phone: 630-859-8686
  • Fax: 224-513-6504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. KARAN RAMESH BHAGCHANDANI
Title or Position: OWNER
Credential: DDS
Phone: 630-859-8686