Individual provider · Type 1 NPI
James William Conway, DDS, MSD
Periodontics · Great Lakes, IL
NPI number
1003966904
Active
Practice location
3001A Sixth St
Great Lakes, IL 60088
Mailing address
3001A Sixth St.
Great Lakes, IL 60088-2209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 021-01184 (IL) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
5 other providers at this address
- Charles William Paddock Iii, DDSGeneral Practice Dentistry Great Lakes, IL NPI 1285604009
- Clifford Loren Moudy Ii, I.D.C.Independent Duty Corpsman Great Lakes, IL NPI 1679541676
- Jennifer Brattland Ota, MDInternal Medicine Physician Great Lakes, IL NPI 1891779146
- John Schroer, DDSGeneral Practice Dentistry Great Lakes, IL NPI 1053397992
- Scott Hocker, DDSDentist Great Lakes, IL NPI 1508012279
Other periodontics providers in Great Lakes
About NPI 1003966904
James William Conway, DDS, MSD's National Provider Identifier is 1003966904, issued on Jan 11, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Great Lakes, IL. The record was last updated on Jul 8, 2007.