Provider Demographics
NPI:1821765751
Name:DENTAL ESSENCE, LTD
Entity Type:Organization
Organization Name:DENTAL ESSENCE, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:N
Authorized Official - Last Name:GREICO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-250-0333
Mailing Address - Street 1:1576 W. LAKE STREET
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101
Mailing Address - Country:US
Mailing Address - Phone:630-250-0333
Mailing Address - Fax:630-250-0903
Practice Address - Street 1:1576 W. LAKE STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:ADDISON
Practice Address - State:IL
Practice Address - Zip Code:60101
Practice Address - Country:US
Practice Address - Phone:630-250-0333
Practice Address - Fax:630-250-0903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-27
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty