Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC
Active OrganizationPERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC is a Periodontology organization located in PARK RIDGE, Illinois. NPI 1588703490 is currently active in the NPPES registry. Verify at CMS.
Periodontology · PARK RIDGE, IL
Registration Details
- NPI Number
- 1588703490
- Provider Type
- Organization
- NPI Issued
- Feb 6, 2007 (19.556826045953 yrs)
- Last Updated
- Dec 29, 2016
- Licenses
-
019030200 (IL)019014972 (IL)020005282 (IL)019024971 (IL)
Practice Information
- Address
-
1875 DEMPSTER STSUITE 250PARK RIDGE, IL, 600681186Browse IL providers · Browse ZIP 60068
- Phone
- 8476981180
- Fax
- 8476981185
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
- Additional Specialty
- Dental Hygienist
- Additional Specialty
- Periodontology
Other Periodontology Organizations in PARK RIDGE, IL
| Name | NPI |
|---|---|
| ROBERT C. POULSOM, D.D.S., M.S. LTD | 1275855306 |
| PARK RIDGE PERIODONTICS, INC. | 1144567595 |
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.