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Contact Information

THEODORE J PAWLIAS, DDS
501 EAST GRANT STREET
UNIT #3
MACOMB, IL61455
 Phone: 309-837-6344
 Fax: 309-837-6344
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for THEODORE J PAWLIAS · (Male)

NPI # 1831257252
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/05/2006
Last updated 01/26/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 019018070
  • IL Medicaid 101193
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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