Provider Demographics
NPI:1003388422
Name:DENTAL SURGEONS LTD
Entity Type:Organization
Organization Name:DENTAL SURGEONS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:CYGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-765-7557
Mailing Address - Street 1:610 W ROOSEVELT RD STE C1
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-2304
Mailing Address - Country:US
Mailing Address - Phone:630-765-7557
Mailing Address - Fax:630-581-9877
Practice Address - Street 1:610 W ROOSEVELT RD STE C1
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-2304
Practice Address - Country:US
Practice Address - Phone:630-765-7557
Practice Address - Fax:630-581-9877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-24
Last Update Date:2020-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty