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Contact Information

SOUTHWEST ENDODONTICS
16055 108TH AVE
STE H
ORLAND PARK, IL60467-5347
 Phone: 708-460-9191
 Fax: 708-460-9407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for SOUTHWEST ENDODONTICS · (Female)

NPI Number 1982934972
Status Active
Credentials
Entity Individual
Enumeration date 01/13/2010
Last updated 05/28/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 02101135
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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