Provider Demographics
NPI:1578981924
Name:PLEASANT TOUCH DENTAL, P.C.
Entity Type:Organization
Organization Name:PLEASANT TOUCH DENTAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLLA
Authorized Official - Middle Name:D
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:708-223-4360
Mailing Address - Street 1:PO BOX 9548
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60567-0548
Mailing Address - Country:US
Mailing Address - Phone:708-223-4360
Mailing Address - Fax:708-223-4365
Practice Address - Street 1:957 S MANNHEIM RD
Practice Address - Street 2:SUITE 1-S
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-2544
Practice Address - Country:US
Practice Address - Phone:708-223-4360
Practice Address - Fax:708-223-4365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19-0225861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty