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General NPI Number Information
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NPI Number | 1457279853
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Entity Type | Organization
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Legal Business Name | KWARTENG ORTHODONTICS, P.C.
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 253 S WEBER RD STE D
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City | BOLINGBROOK
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State | IL
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Zip | 60490-1502
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Country | US
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Telephone | 630-425-2272
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Fax |
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Provider Business Mailing Address
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Address Line | 524 APPIAN WAY
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City | MATTESON
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State | IL
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Zip | 60443-1785
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LISA KWARTENG
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Credential | DMD
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Telephone | 630-425-2272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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