Provider Demographics
NPI:1316221351
Name:HELPING HANDS DENTAL SERVICES, NFP
Entity Type:Organization
Organization Name:HELPING HANDS DENTAL SERVICES, NFP
Other - Org Name:THAT'S THE TOOTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:773-778-1125
Mailing Address - Street 1:9249 S CICERO AVE STE 331
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-9700
Mailing Address - Country:US
Mailing Address - Phone:773-778-1125
Mailing Address - Fax:773-912-6804
Practice Address - Street 1:2447 W 79TH STREET
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60652-1734
Practice Address - Country:US
Practice Address - Phone:773-776-1285
Practice Address - Fax:773-776-3171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-10
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190221431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1002342Medicaid