Provider Demographics
NPI:1467719856
Name:EUGENE F. INGLES DDS
Entity Type:Organization
Organization Name:EUGENE F. INGLES DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:F
Authorized Official - Last Name:INGLES
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:847-438-8136
Mailing Address - Street 1:66 S OLD RAND RD
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-6301
Mailing Address - Country:US
Mailing Address - Phone:847-438-8136
Mailing Address - Fax:847-438-8155
Practice Address - Street 1:66 S OLD RAND RD
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-6301
Practice Address - Country:US
Practice Address - Phone:847-438-8136
Practice Address - Fax:847-438-8155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-23
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty