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

SCBA CASACLANG DDS LTD

Active Organization

SCBA CASACLANG DDS LTD is a Dentist organization located in GYRNEE, Illinois. NPI 1205055001 is currently active in the NPPES registry. Verify at CMS.

Dentist · GYRNEE, IL

Registration Details

NPI Number
1205055001
Provider Type
Organization
NPI Issued
Apr 24, 2007 (19.303594318633 yrs)
Last Updated
Jan 18, 2012
License
019022958 (IL)

Practice Information

Address
495 N RIVERSIDE DR STE 204
GYRNEE, IL, 60031
Browse IL providers · Browse ZIP 60031
Phone
8473368611
Fax
8473368199
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.