Alexander Katsnelson DMD PC
Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Buffalo Grove, IL
NPI 1053663872 · NPPES record last updated Oct 3, 2012
Key facts
- NPI
- 1053663872
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 021002389 (IL)
- Legal business name
- ALEXANDER KATSNELSON DMD PC
- Practice address
- 488 Thorndale Dr
Buffalo Grove, IL 60089-6700 - Phone
- (847) 902-9922
- Fax
- (888) 846-4758
- NPI assigned
- Oct 3, 2012
- Organization subpart
- No
Authorized official
- Name
- Alexander Katsnelson, DMD
- Title
- President
- Phone
- (847) 902-9922
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | 021002389 | IL | Yes |
Addresses
Primary practice location
488 Thorndale Dr
Buffalo Grove, IL 60089-6700
Mailing address
488 Thorndale Dr
Buffalo Grove, IL 60089-6700
Phone (847) 902-9922
Other providers in Buffalo Grove, IL
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- Matthew Aldana
- Alexander Osovsky
- Samirah S Ali
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- Gloria Aurora Allas
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All providers in Buffalo Grove, IL · Oral and Maxillofacial Surgery (Dentist) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.