Organization · Type 2 NPI

Periodontics & Implants, Ltd.

Periodontics · Evanston, IL

NPI number 1962653600 Active

Practice location

636 Church St, Suite 707
Evanston, IL 60201-4508

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X021000596 (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.

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About NPI 1962653600

Periodontics & Implants, Ltd.'s National Provider Identifier is 1962653600, issued on Sep 30, 2008. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Evanston, IL. The record was last updated on Sep 30, 2008.