Healthcare Provider Details
I. General information
NPI: 1447166491
Provider Name (Legal Business Name): HORIA ALEXANDRU NEAGA DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
971 W 18TH ST
CHICAGO IL
60608-2362
US
IV. Provider business mailing address
3852 N SEELEY AVE
CHICAGO IL
60618-3912
US
V. Phone/Fax
- Phone: 312-971-8528
- Fax:
- Phone: 312-898-3434
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 019037314 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: