Provider Demographics
NPI:1790052678
Name:TREASURED SMILES PEDIATRIC DENTISTRY
Entity Type:Organization
Organization Name:TREASURED SMILES PEDIATRIC DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:815-806-1600
Mailing Address - Street 1:10313 W LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-1280
Mailing Address - Country:US
Mailing Address - Phone:815-806-1600
Mailing Address - Fax:815-806-1633
Practice Address - Street 1:10313 W LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-1280
Practice Address - Country:US
Practice Address - Phone:815-806-1600
Practice Address - Fax:815-806-1633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-21
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0600104511223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty