Floss N Gloss Dental PC
Organization Active NPI General Practice Dentistry · Desplaines, IL
NPI 1982174108 · NPPES record last updated Nov 30, 2018
Key facts
- NPI
- 1982174108
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- FLOSS N GLOSS DENTAL PC
- Practice address
- 114 Lee Street
Desplaines, IL 60016 - Phone
- (224) 567-8539
- Fax
- (224) 567-8903
- NPI assigned
- Nov 30, 2018
- Organization subpart
- No
Authorized official
- Name
- Maritza Duran
- Title
- Credentialing Cordinator
- Phone
- (516) 229-1441
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
114 Lee Street
Desplaines, IL 60016
Mailing address
114 Lee Street
Desplaines, IL 60016
Phone (224) 567-8539
Other providers in Desplaines, IL
All providers in Desplaines, 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 Nov 30, 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.