Provider Demographics
NPI:1609914050
Name:ENDODONTICS LIMITED
Entity Type:Organization
Organization Name:ENDODONTICS LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:GILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:312-236-9581
Mailing Address - Street 1:798 TIMBER HILL RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-5149
Mailing Address - Country:US
Mailing Address - Phone:312-236-9581
Mailing Address - Fax:312-236-9593
Practice Address - Street 1:55 E WASHINGTON ST
Practice Address - Street 2:SUITE #1230
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-2103
Practice Address - Country:US
Practice Address - Phone:312-236-9581
Practice Address - Fax:312-236-9593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty