Provider Demographics
NPI:1710200514
Name:HIGH POINT DENTAL GROUP
Entity Type:Organization
Organization Name:HIGH POINT DENTAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAROS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:815-293-1500
Mailing Address - Street 1:46 S. WEBER RD.
Mailing Address - Street 2:
Mailing Address - City:ROMEOVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60446
Mailing Address - Country:US
Mailing Address - Phone:815-293-1500
Mailing Address - Fax:815-293-1435
Practice Address - Street 1:46 S. WEBER RD
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:IL
Practice Address - Zip Code:60446
Practice Address - Country:US
Practice Address - Phone:815-293-1500
Practice Address - Fax:815-293-1435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-08
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190264931223G0001X
IL0190258981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty