Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD C PRENDERGAST, D.D.S. , M.S.
Active Sole ProprietorDR. RICHARD C PRENDERGAST, D.D.S. , M.S. is a Periodontology healthcare provider located in EVANSTON, Illinois. NPI 1225108210 is currently active in the NPPES registry. Verify at CMS.
Periodontology · EVANSTON, IL
Registration Details
- NPI Number
- 1225108210
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2006 (19.811161807336 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
636 CHURCH STSUITE 707EVANSTON, IL, 602014508Browse IL providers · Browse ZIP 60201
- Phone
- 8474911880
- Fax
- 8474911895
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in EVANSTON, IL
| Name | Credential | NPI |
|---|---|---|
| ROGER NOUNEH | — | 1447248877 |
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.