Provider Demographics
NPI:1295851129
Name:CATRAMBONE DENTAL ASSOCIATES, PC
Entity Type:Organization
Organization Name:CATRAMBONE DENTAL ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:CATRAMBONE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:708-771-0600
Mailing Address - Street 1:7411 LAKE ST
Mailing Address - Street 2:SUITE L100
Mailing Address - City:RIVER FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60305-1876
Mailing Address - Country:US
Mailing Address - Phone:708-771-0600
Mailing Address - Fax:708-771-9712
Practice Address - Street 1:7411 LAKE ST
Practice Address - Street 2:SUITE L100
Practice Address - City:RIVER FOREST
Practice Address - State:IL
Practice Address - Zip Code:60305-1876
Practice Address - Country:US
Practice Address - Phone:708-771-0600
Practice Address - Fax:708-771-9712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty