OrganizationActive
Prakash K. Upadhyaya DDS Ltd.
NPI 1003236555 · Dentist · Broadview, IL
Provider details
- NPI number
- 1003236555
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Prakash K. Upadhyaya DDS Ltd.
- Organization subpart
- Yes
- Authorized official
- Prakash Upadhyaya, General Dentist(708) 865-2400
- License
- 019015678 (IL)
Specialties & taxonomies
Dental Providers
Practice location
2400 W Roosevelt Rd
Suite #1
Broadview, IL 60155-3880
Phone: (708) 865-2400
Approximate (ZIP-level) locationGet directions
Mailing address
2400 W Roosevelt Rd
Broadview, IL 60155-3880
Registry dates
- Enumerated
- 2014-04-23
- Last updated
- 2014-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.