1447327416 NPI number — GENTLE DENTAL SERVICES LTD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447327416 NPI number — GENTLE DENTAL SERVICES LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GENTLE DENTAL SERVICES LTD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1447327416
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/20/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
640 W ALGONQUIN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DES PLAINES
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60016-5703
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-364-5305
Provider Business Mailing Address Fax Number:
847-364-7701

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
640 W ALGONQUIN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DES PLAINES
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60016-5703
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-364-5305
Provider Business Practice Location Address Fax Number:
847-364-7701
Provider Enumeration Date:
11/29/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KOZAR-WARCHALOWSKA
Authorized Official First Name:
BEATA
Authorized Official Middle Name:
BOZENA
Authorized Official Title or Position:
DENTIST
Authorized Official Telephone Number:
847-364-5305

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  019-025425 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)