Provider Demographics
NPI:1821157769
Name:ROBERT T SVEN,DDS,LTD
Entity Type:Organization
Organization Name:ROBERT T SVEN,DDS,LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREATMENT COORDINATER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAY
Authorized Official - Middle Name:ADOLPHINE
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-395-3250
Mailing Address - Street 1:439 LAKE STREET
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:IL
Mailing Address - Zip Code:60002
Mailing Address - Country:US
Mailing Address - Phone:847-395-3250
Mailing Address - Fax:847-395-4045
Practice Address - Street 1:439 LAKE STREET
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:IL
Practice Address - Zip Code:60002
Practice Address - Country:US
Practice Address - Phone:847-395-3250
Practice Address - Fax:847-395-4045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty