Provider Demographics
NPI:1043354905
Name:SHIFFMAN MORRIS DENTAL ASSOC.
Entity Type:Organization
Organization Name:SHIFFMAN MORRIS DENTAL ASSOC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOESSLING
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:847-215-1511
Mailing Address - Street 1:195 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-8211
Mailing Address - Country:US
Mailing Address - Phone:847-215-1511
Mailing Address - Fax:847-243-0509
Practice Address - Street 1:195 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:SUITE 160
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-8211
Practice Address - Country:US
Practice Address - Phone:847-215-1511
Practice Address - Fax:847-243-0509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty