Provider Demographics
NPI:1760572796
Name:PAUL INCZE DDS PC
Entity Type:Organization
Organization Name:PAUL INCZE DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:INCZE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:773-761-7900
Mailing Address - Street 1:2360 W TOUHY AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-3449
Mailing Address - Country:US
Mailing Address - Phone:773-761-7900
Mailing Address - Fax:
Practice Address - Street 1:2360 W TOUHY AVE
Practice Address - Street 2:SUITE A
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-3449
Practice Address - Country:US
Practice Address - Phone:773-761-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190184561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty