Provider Demographics
NPI:1275007890
Name:GURNEE DENTAL CARE, LLC
Entity Type:Organization
Organization Name:GURNEE DENTAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-548-3800
Mailing Address - Street 1:34491 N OLD WALNUT CIR STE F
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-4270
Mailing Address - Country:US
Mailing Address - Phone:847-548-3800
Mailing Address - Fax:
Practice Address - Street 1:34491 N OLD WALNUT CIR STE F
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-4270
Practice Address - Country:US
Practice Address - Phone:847-548-3800
Practice Address - Fax:847-548-3802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-16
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental