Provider Demographics
NPI:1508977646
Name:AUGUSTA DENTAL CENTER LTD
Entity Type:Organization
Organization Name:AUGUSTA DENTAL CENTER LTD
Other - Org Name:DR STEFAN J PRESSLING LTD
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEFAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:PRESSZING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:773-549-2800
Mailing Address - Street 1:3460 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-1173
Mailing Address - Country:US
Mailing Address - Phone:773-549-2800
Mailing Address - Fax:773-549-4810
Practice Address - Street 1:3460 N LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-1173
Practice Address - Country:US
Practice Address - Phone:773-549-2800
Practice Address - Fax:773-549-4810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty