Benjamin Zalman Belavsky, DDS, MS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Buffalo Grove, IL
NPI 1710325311 · NPPES record last updated May 17, 2018
Key facts
- NPI
- 1710325311
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 021002743 (IL)
- Practice address
- 355 W Dundee Rd Ste 215
Buffalo Grove, IL 60089 - Phone
- (847) 215-9971
- NPI assigned
- Jun 5, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019029399 | IL | MD | Dentist |
| 021002743 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019029399 | IL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 021002743 | IL | Yes |
Addresses
Primary practice location
355 W Dundee Rd Ste 215
Buffalo Grove, IL 60089
Mailing address
9225 Karlov Ave
Skokie, IL 60076-1732
Phone (847) 800-1815
Other providers in Buffalo Grove, IL
- Oksana Batejko
- Sara Bayerle
- Kristin Bean
- Faith Salesin Becker
- Christina Beckstrom
- Yuliya Belaya
- Wendy M Belletynee
- Nancy Belvisi
- Caitlin Therese Bender
- Raena N Bennett
All providers in Buffalo Grove, IL · Orthodontics and Dentofacial Orthopedics 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 17, 2018. 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.