Provider Demographics
NPI:1558232918
Name:ESTHETIC DENTAL STUDIO PLLC
Entity type:Organization
Organization Name:ESTHETIC DENTAL STUDIO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROSTHODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:CELIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:815-464-3001
Mailing Address - Street 1:20635 ABBEY WOODS CT N STE 203
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-3186
Mailing Address - Country:US
Mailing Address - Phone:815-464-3001
Mailing Address - Fax:
Practice Address - Street 1:20635 ABBEY WOODS CT N STE 203
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-3186
Practice Address - Country:US
Practice Address - Phone:815-464-3001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty