National Provider Identifier Database

ADVANCED ENDODONTICS PC
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

ADVANCED ENDODONTICS, PC
103 S. GREENLEAF STREET
SUITE K
GURNEE, IL60031
Phone: 847-782-0048
Fax: 847-782-0102
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X
Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for ADVANCED ENDODONTICS, PC

NPI Number 1588163364
Legal business name
LBN
ADVANCED ENDODONTICS, PC
Authorized official JOHN STUPARITZ - (PRESIDENT OWNER DDS)
Entity Organization
Organization subpart No
Enumeration date 02/07/2018
Last updated 02/07/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 019.020999
  • IL License #: 021.001771

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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