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Contact Information

TOTAL DENTISTRY
647 N 1ST BANK DR
PALATINE, IL60067-8111
 Phone: 847-358-2477
 Fax: 847-358-1217
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Endodontics

1223E0200X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Orthodontics and Dentofacial Orthopedics

1223X0400X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for TOTAL DENTISTRY

NPI # 1407003437
LBN Legal business name TOTAL DENTISTRY
Authorized official ANNA PELAK - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/21/2008
Last updated 08/21/2008 - About 18 years ago
Identifiers
IL License # 019020825
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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