Provider Demographics
NPI:1629302252
Name:LAPLANCHE, JANNET (DDS)
Entity Type:Individual
Prefix:DR
First Name:JANNET
Middle Name:
Last Name:LAPLANCHE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9725 S KEDZIE AVE
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60805-3124
Mailing Address - Country:US
Mailing Address - Phone:708-424-3010
Mailing Address - Fax:708-425-2648
Practice Address - Street 1:9725 S KEDZIE AVE
Practice Address - Street 2:
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-3124
Practice Address - Country:US
Practice Address - Phone:708-424-3010
Practice Address - Fax:708-425-2648
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.028107122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist