Provider Demographics
NPI:1730314097
Name:SAYLOR, ADAM LESLIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:LESLIE
Last Name:SAYLOR
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 1:456 N PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-4622
Mailing Address - Country:US
Mailing Address - Phone:630-858-0850
Mailing Address - Fax:630-858-0848
Practice Address - Street 1:456 N PARK BLVD
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-4622
Practice Address - Country:US
Practice Address - Phone:630-858-0850
Practice Address - Fax:630-858-0848
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.027450122300000X
IL021.0022591223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist