Provider Demographics
NPI:1609938091
Name:DR DENNIS A LIND PC
Entity Type:Organization
Organization Name:DR DENNIS A LIND PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:LIND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-394-4333
Mailing Address - Street 1:1501 W DUNDEE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089
Mailing Address - Country:US
Mailing Address - Phone:847-394-4333
Mailing Address - Fax:847-394-4954
Practice Address - Street 1:1501 W DUNDEE
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089
Practice Address - Country:US
Practice Address - Phone:847-394-4333
Practice Address - Fax:847-394-4954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty