Provider Demographics
NPI:1508927963
Name:NF SANDSTROM DDS LTD
Entity Type:Organization
Organization Name:NF SANDSTROM DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NILS
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:SANDSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:708-388-2500
Mailing Address - Street 1:6400 COLLEGE DRIVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463
Mailing Address - Country:US
Mailing Address - Phone:708-388-2500
Mailing Address - Fax:708-388-2352
Practice Address - Street 1:6400 COLLEGE DRIVE
Practice Address - Street 2:SUITE 500
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463
Practice Address - Country:US
Practice Address - Phone:708-388-2500
Practice Address - Fax:708-388-2352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty