Provider Demographics
NPI:1790904266
Name:KASE, STEVEN BENNETT (DDS)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:BENNETT
Last Name:KASE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 OLD ORCHARD ROAD
Mailing Address - Street 2:SUITE 710
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077
Mailing Address - Country:US
Mailing Address - Phone:847-676-1432
Mailing Address - Fax:847-674-6480
Practice Address - Street 1:64 OLD ORCHARD ROAD
Practice Address - Street 2:SUITE 710
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077
Practice Address - Country:US
Practice Address - Phone:847-676-1432
Practice Address - Fax:847-674-6480
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019017456122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist