Olga L Thurman DDS LTD

Organization Active NPI Dental Clinic/Center · Third Lake, IL

NPI 1982943023 · NPPES record last updated Feb 9, 2013

Key facts

NPI
1982943023
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
License
019027065 (IL)
Legal business name
OLGA L THURMAN DDS LTD
Practice address
34484 N US Highway 45
Suite C
Third Lake, IL 60030-4038
Phone
(224) 541-4066
Fax
(847) 752-8425
NPI assigned
Feb 9, 2013
Organization subpart
No

Authorized official

Name
Olga L Thurman, DDS
Title
President
Phone
(224) 541-4066

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 019027065 IL Yes

Addresses

Primary practice location

34484 N US Highway 45
Suite C
Third Lake, IL 60030-4038

Mailing address

34484 N US Highway 45
Suite C
Third Lake, IL 60030-4038
Phone (224) 541-4066

Other names

  • Dental on 45 Inc Doing business as

Other providers in Third Lake, IL

All providers in Third Lake, IL · Dental Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.