DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONATHAN L GIFFORD, DDS

Active Sole Proprietor

DR. JONATHAN L GIFFORD, DDS is a Dentist healthcare provider located in MOUNT PROSPECT, Illinois. NPI 1003187956 is currently active in the NPPES registry. Verify at CMS.

Dentist · MOUNT PROSPECT, IL

Registration Details

NPI Number
1003187956
Provider Type
Individual
Gender
Male
NPI Issued
Jan 24, 2012 (14.544427132242 yrs)
Last Updated
Mar 2, 2017
Licenses
019030941 (IL)
DD4038 (NM)
Sole Proprietor
Yes

Practice Information

Address
435 W PROSPECT AVE
MOUNT PROSPECT, IL, 600563031
Browse IL providers · Browse ZIP 60056
Phone
8472559690
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in MOUNT PROSPECT, IL

Name Credential NPI
DR. AUGUST JAMES DURSO JR. D.D.S. 1568558989
DAVID J BOHM DDS 1295801181
DR. KAPIL VIJ DDS 1104013762
DR. JASON JYH-JEN CHENG DDS 1255509600
NINOS K AWRAHAM D.D.S. 1881842045
SYED REHMAN DMD 1316321722
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.