National Provider Identifier Database

INNOVATIVE ENDODONTICS PC
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

INNOVATIVE ENDODONTICS, P.C.
4346 N PULASKI RD # AB
CHICAGO, IL60641-2156
Phone: 773-544-1025
Fax: 773-649-9282
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for INNOVATIVE ENDODONTICS, P.C.

NPI Number 1508035619
Legal business name
LBN
INNOVATIVE ENDODONTICS, P.C.
Authorized official REBECCA PRESCOTT - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/22/2008
Last updated 02/22/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers 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.

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