Provider Demographics
NPI:1598193864
Name:MARC S KAPLAN DDS LTD
Entity Type:Organization
Organization Name:MARC S KAPLAN DDS LTD
Other - Org Name:VILLAGE DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:S
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-438-7252
Mailing Address - Street 1:950 W IL ROUTE 22
Mailing Address - Street 2:SUITE 119
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-3417
Mailing Address - Country:US
Mailing Address - Phone:847-438-7252
Mailing Address - Fax:847-438-7278
Practice Address - Street 1:950 W IL ROUTE 22
Practice Address - Street 2:SUITE 119
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-3417
Practice Address - Country:US
Practice Address - Phone:847-438-7252
Practice Address - Fax:847-438-7278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-24
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019021295122300000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty