Provider Demographics
NPI:1801035092
Name:DON C. KALANT SR., D.D.S. AND ASSOC
Entity Type:Organization
Organization Name:DON C. KALANT SR., D.D.S. AND ASSOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DON
Authorized Official - Middle Name:C
Authorized Official - Last Name:KALANT
Authorized Official - Suffix:SR
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-851-9100
Mailing Address - Street 1:1303 MACOM DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-3202
Mailing Address - Country:US
Mailing Address - Phone:630-851-9100
Mailing Address - Fax:630-851-6983
Practice Address - Street 1:1303 MACOM DR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-3202
Practice Address - Country:US
Practice Address - Phone:630-851-9100
Practice Address - Fax:630-851-6983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL021.0013141223S0112X
IL0190264651223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILW58834Medicare UPIN