Webster Dental Care North Suburban Ltd
Dentist, General Practice in Skokie, IL. Organization (NPI-2).
NPI number1982804654
StatusActive
Last updated in NPPESOct 27, 2007
Details
- NPI
- 1982804654
- Entity type
- Organization (NPI-2)
- Legal business name
- Webster Dental Care North Suburban Ltd
- Organization subpart
- No
- Enumeration date
- Jul 20, 2007
- Last updated
- Oct 27, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019-015631 | IL | Yes |
| 1223G0001X | Dentist, General Practice | 019-013115 | IL | |
| 1223G0001X | Dentist, General Practice | 019-013408 | IL | |
| 1223G0001X | Dentist, General Practice | 019-022789 | IL | |
| 1223G0001X | Dentist, General Practice | 019-025127 | IL | |
| 1223G0001X | Dentist, General Practice | 019-026122 | IL | |
| 1223G0001X | Dentist, General Practice | 019-013513 | IL | |
| 1223P0221X | Dentist, Pediatric Dentistry | 021-001997 | IL | |
| 1223P0221X | Dentist, Pediatric Dentistry | 021-001255 | IL | |
| 1223P0300X | Dentist, Periodontics | 021-001463 | IL | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 021-000726 | IL | |
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | 021-000601 | IL | |
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 021-016692 | IL |
Practice location
4833 Church StSkokie, IL 60077-1357
Phone 847-673-7118 · Fax 847-673-4709
Mailing address
4833 Church StSkokie, IL 60077-1357
Phone 847-673-7118 · Fax 847-673-4709
Authorized official
Steve Rempas
Owner
8476737118
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