Provider Demographics
NPI:1851393995
Name:CATON CROSSING DENTAL CARE LTD
Entity Type:Organization
Organization Name:CATON CROSSING DENTAL CARE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:SHINDOLLAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:815-254-8550
Mailing Address - Street 1:2318 S ROUTE 59
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586-7756
Mailing Address - Country:US
Mailing Address - Phone:815-254-8550
Mailing Address - Fax:815-254-8175
Practice Address - Street 1:2318 S ROUTE 59
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60586-7756
Practice Address - Country:US
Practice Address - Phone:815-254-8550
Practice Address - Fax:815-254-8175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-10
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILIL0190194931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty