Provider Demographics
NPI:1134297831
Name:TOMIO UEMURA DDS PC
Entity Type:Organization
Organization Name:TOMIO UEMURA DDS PC
Other - Org Name:NIHON DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TOMIO
Authorized Official - Middle Name:
Authorized Official - Last Name:UEMURA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS PC
Authorized Official - Phone:847-805-6500
Mailing Address - Street 1:999 PLAZA DR
Mailing Address - Street 2:SUITE 350
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-5493
Mailing Address - Country:US
Mailing Address - Phone:847-805-6500
Mailing Address - Fax:847-805-6501
Practice Address - Street 1:999 PLAZA DR
Practice Address - Street 2:SUITE 350
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5493
Practice Address - Country:US
Practice Address - Phone:847-805-6500
Practice Address - Fax:847-805-6501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty