Provider Demographics
NPI:1427586593
Name:WEBSTER DENTAL CARE SCHAUMBURG, LTD
Entity Type:Organization
Organization Name:WEBSTER DENTAL CARE SCHAUMBURG, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KRANZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-882-8770
Mailing Address - Street 1:650 E HIGGINS RD STE 7
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4762
Mailing Address - Country:US
Mailing Address - Phone:847-882-8770
Mailing Address - Fax:
Practice Address - Street 1:650 E HIGGINS RD STE 7
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4762
Practice Address - Country:US
Practice Address - Phone:847-882-8770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty