Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GENRIKH GANDELSMAN, D.D.S.
ActiveDR. GENRIKH GANDELSMAN, D.D.S. is a Orthodontics healthcare provider located in LINDENHURST, Illinois. NPI 1912202805 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · LINDENHURST, IL
Registration Details
- NPI Number
- 1912202805
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2011 (15.593161331981 yrs)
- Last Updated
- Aug 14, 2013
- License
-
021001887 (IL)
Practice Information
- Address
-
3065 FALLING WATERS BLVDLINDENHURST, IL, 600466793Browse IL providers · Browse ZIP 60046
- Phone
- 2246434381
- Primary Specialty
-
Orthodontics
1223X0400X
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.