Provider Demographics
NPI:1841431657
Name:GEORGE P. DANOS INC
Entity Type:Organization
Organization Name:GEORGE P. DANOS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:P
Authorized Official - Last Name:DANOS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:708-424-2277
Mailing Address - Street 1:5101 W 111TH ST
Mailing Address - Street 2:
Mailing Address - City:ALSIP
Mailing Address - State:IL
Mailing Address - Zip Code:60803
Mailing Address - Country:US
Mailing Address - Phone:708-424-2277
Mailing Address - Fax:708-424-6611
Practice Address - Street 1:5101 W 111TH ST
Practice Address - Street 2:
Practice Address - City:ALSIP
Practice Address - State:IL
Practice Address - Zip Code:60803
Practice Address - Country:US
Practice Address - Phone:708-424-2277
Practice Address - Fax:708-424-6611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILD19-0179081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty