Organization · Type 2 NPI
Old Orchard Periodontics & Implant Dentistry Ltd
Periodontics · Skokie, IL
NPI number
1821139171
Active
Practice location
4905 Old Orchard Shopping Ctr, Suite 310
Skokie, IL 60077-1425
Fax (847) 982-0644
Mailing address
4905 Old Orchard Ctr Ste 310
Skokie, IL 60077-4740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 021001143 (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.
3 other providers at this address
Other periodontics providers in Skokie
About NPI 1821139171
Old Orchard Periodontics & Implant Dentistry Ltd's National Provider Identifier is 1821139171, issued on Feb 9, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Skokie, IL. The record was last updated on Jul 29, 2026.