National Provider Identifier Database

KERMIT RADKE, DMD – NPI #1760729339
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

KERMIT RADKE, DMD
4165 OLD GRAND AVE
GURNEE, IL60031-2774
Phone: 847-623-4910
Fax: 847-623-6054
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for KERMIT RADKE

NPI Number 1760729339
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 01/15/2013
Last updated 01/15/2013 - About 13 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 021001688
Hospital affiliation n/a

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.

Reviews for KERMIT RADKE, DMD

There are currently no reviews for KERMIT RADKE, DMD


NPIdb - Home
v2.201