Dental Associates of Alsip, LLC
Organization Active NPI General Practice Dentistry · Alsip, IL
NPI 1669909370 · NPPES record last updated May 12, 2017
Key facts
- NPI
- 1669909370
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- DENTAL ASSOCIATES OF ALSIP, LLC
- Practice address
- 5061 West 111TH St.
Alsip, IL 60803-6074 - Phone
- (708) 422-6655
- Fax
- (708) 422-0628
- NPI assigned
- May 12, 2017
- Organization subpart
- No
Authorized official
- Name
- Katherine Grueneberg
- Title
- Chief Administrative Officer
- Phone
- (414) 778-5274
Practitioners 3
-
Margaret Eber, DDS
-
Richard J Eber, DDS
-
Walter C Wren, DDS
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | IL | Yes |
Addresses
Primary practice location
5061 West 111TH St.
Alsip, IL 60803-6074
Mailing address
3333 N Mayfair Rd
Suite 311
Wauwatosa, WI 53222-3219
Phone (414) 808-3031
Other providers in Alsip, IL
- Ankita Dalal
- George Pantelis Danos
- Aisha Daoud
- Abdul Hussein Darki
- Jeanette Orozco Delfino
- Yash Desai
- Patricia Deskovich
- Doubek Medical Supply Inc.
- Doubek Pharmacy Inc
- Donald James Doubek
All providers in Alsip, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2017. 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.