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

DR. CHARLES J TANNENBAUM, DDS

Active Sole Proprietor

DR. CHARLES J TANNENBAUM, DDS is a Dentist healthcare provider located in MCHENRY, Illinois. NPI 1720252224 is currently active in the NPPES registry. Verify at CMS.

Dentist · MCHENRY, IL

Registration Details

NPI Number: 1720252224
Provider Type: Individual
Gender: Male
NPI Issued: Apr 15, 2008 (18.33385856093 yrs)
Last Updated: Jan 1, 2012
License: 019-015317 (IL)
Sole Proprietor: Yes

Practice Information

Address: 5404 W ELM ST

STE F

MCHENRY, IL, 600504052
Browse IL providers · Browse ZIP 60050
Phone: 8157590871
Fax: 8157590875
Primary Specialty: Dentist
122300000X

Other Dentist Providers in MCHENRY, IL

Name	Credential	NPI
DR. JOHN V DANO	—	1427123447
DR. THERESA C HAUCK	DDS	1205050648
DR. CAROL ANN WEGRZYN	D.D.S.	1326245945
MR. YONG SUK CHANG	DDS	1568613297
DR. JUBRAIL KAMIL SWEIS	D.D.S	1043506496
DR. THOMAS LELAND GOUGH	D.D.S.	1871838227

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.