Provider Demographics
NPI:1639330525
Name:ORLAND, GINA F (DMD)
Entity Type:Individual
Prefix:DR
First Name:GINA
Middle Name:F
Last Name:ORLAND
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 N DELAPLAINE RD
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:IL
Mailing Address - Zip Code:60546-2022
Mailing Address - Country:US
Mailing Address - Phone:708-447-2100
Mailing Address - Fax:708-447-0654
Practice Address - Street 1:21 N DELAPLAINE RD
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:IL
Practice Address - Zip Code:60546-2022
Practice Address - Country:US
Practice Address - Phone:708-447-2100
Practice Address - Fax:708-447-0654
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.027490122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist