Provider Demographics
NPI:1548599038
Name:SMYRNIOTIS-HALKIAS, KATERINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATERINA
Middle Name:
Last Name:SMYRNIOTIS-HALKIAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 N ARLINGTON HEIGHTS RD STE 202
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-3960
Mailing Address - Country:US
Mailing Address - Phone:847-253-8505
Mailing Address - Fax:
Practice Address - Street 1:1635 N ARLINGTON HEIGHTS RD
Practice Address - Street 2:SUITE 202
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-3944
Practice Address - Country:US
Practice Address - Phone:847-253-8505
Practice Address - Fax:847-253-8531
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-14
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190232841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice