Provider Demographics
NPI:1457497760
Name:HANDEL, JEFFREY J (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:J
Last Name:HANDEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:690 E NORTH AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-2172
Mailing Address - Country:US
Mailing Address - Phone:630-653-1850
Mailing Address - Fax:630-653-1850
Practice Address - Street 1:690 E NORTH AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-2172
Practice Address - Country:US
Practice Address - Phone:630-653-1850
Practice Address - Fax:630-653-1850
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist