Provider Demographics
NPI:1639236755
Name:VANGILDER, JOHN WALKER (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:WALKER
Last Name:VANGILDER
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Gender:M
Credentials:DDS
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Mailing Address - Street 1:101 LIONS DR
Mailing Address - Street 2:SUITE 116
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-3181
Mailing Address - Country:US
Mailing Address - Phone:847-382-4224
Mailing Address - Fax:847-382-4487
Practice Address - Street 1:101 LIONS DR
Practice Address - Street 2:SUITE 116
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-3181
Practice Address - Country:US
Practice Address - Phone:847-382-4224
Practice Address - Fax:847-382-4487
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2016-02-19
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Provider Licenses
StateLicense IDTaxonomies
IL0210015851223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery