Provider Demographics
NPI:1003304908
Name:WORLD CLASS SMILES CHICAGO
Entity Type:Organization
Organization Name:WORLD CLASS SMILES CHICAGO
Other - Org Name:HAROLD J. KRINSKY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:J
Authorized Official - Last Name:KRINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:773-685-9666
Mailing Address - Street 1:4801 W PETERSON AVE STE 316
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-5726
Mailing Address - Country:US
Mailing Address - Phone:773-685-9666
Mailing Address - Fax:773-685-1967
Practice Address - Street 1:4801 W PETERSON AVE STE 316
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-5726
Practice Address - Country:US
Practice Address - Phone:773-685-9666
Practice Address - Fax:773-685-1967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190164161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty