Provider Demographics
NPI:1679707616
Name:GELMAN, ASHER S (DMD)
Entity Type:Individual
Prefix:DR
First Name:ASHER
Middle Name:S
Last Name:GELMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9138 FOUR WINDS WAY
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1753
Mailing Address - Country:US
Mailing Address - Phone:917-797-9840
Mailing Address - Fax:
Practice Address - Street 1:9138 FOUR WINDS WAY
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1753
Practice Address - Country:US
Practice Address - Phone:917-797-9840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190284001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice