Healthcare Provider Details

I. General information

NPI: 1487609327
Provider Name (Legal Business Name): PARIMAL G SAPOVADIA D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 MCHENRY RD STE 127
BUFFALO GROVE IL
60089-1386
US

IV. Provider business mailing address

1411 MCHENRY RD STE 127
BUFFALO GROVE IL
60089-1386
US

V. Phone/Fax

Practice location:
  • Phone: 847-276-2500
  • Fax: 847-276-2501
Mailing address:
  • Phone: 847-276-2500
  • Fax: 847-276-2501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019.028159
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number5943-015
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number021.002341
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: