Provider Demographics
NPI:1568852804
Name:HADLEY K THURMON, DDS PC
Entity Type:Organization
Organization Name:HADLEY K THURMON, DDS PC
Other - Org Name:ASPEN CREEK DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HADLEY
Authorized Official - Middle Name:K
Authorized Official - Last Name:THURMON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-941-9299
Mailing Address - Street 1:360 N YORK ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2376
Mailing Address - Country:US
Mailing Address - Phone:630-941-9299
Mailing Address - Fax:630-941-9270
Practice Address - Street 1:360 N YORK ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2376
Practice Address - Country:US
Practice Address - Phone:630-941-9299
Practice Address - Fax:630-941-9270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty