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Contact Information

DENTAL HEIGHTS DDS PC
148 EAST ARMY TRAIL ROAD
GLENDALE HEIGHTS, IL60139
 Phone: 708-369-6232
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for DENTAL HEIGHTS DDS PC · (Female)

NPI # 1063754232
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2013
Last updated 12/07/2023 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 019028083
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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