Provider Demographics
NPI:1831494509
Name:SPIRO C. KARRAS, DDS, P.C.
Entity Type:Organization
Organization Name:SPIRO C. KARRAS, DDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SPIRO
Authorized Official - Middle Name:C
Authorized Official - Last Name:KARRAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-677-6647
Mailing Address - Street 1:5818 DEMPSTER ST
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-3027
Mailing Address - Country:US
Mailing Address - Phone:847-677-6647
Mailing Address - Fax:
Practice Address - Street 1:5818 DEMPSTER ST
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-3027
Practice Address - Country:US
Practice Address - Phone:847-677-6647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2019-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190231171223S0112X
261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty