Provider Demographics
NPI:1124182894
Name:FOURNIER, MARIA J (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:J
Last Name:FOURNIER
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Gender:F
Credentials:DDS, MS
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Mailing Address - Street 1:3275 N ARLINGTON HEIGHTS RD
Mailing Address - Street 2:SUITE 407
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-7709
Mailing Address - Country:US
Mailing Address - Phone:847-255-3374
Mailing Address - Fax:847-255-3678
Practice Address - Street 1:3275 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:SUITE 407
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-7709
Practice Address - Country:US
Practice Address - Phone:847-255-3374
Practice Address - Fax:847-255-3678
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL122300000X, 1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered122300000XDental ProvidersDentist
Not Answered1223E0200XDental ProvidersDentistEndodontics