Provider Demographics
NPI:1891076709
Name:A PLUS ENDODONTICS, INC.
Entity Type:Organization
Organization Name:A PLUS ENDODONTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FUWAD
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-SABEK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:630-696-6173
Mailing Address - Street 1:24228 W. LOCKPORT STREET
Mailing Address - Street 2:SUITE:- 102
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544
Mailing Address - Country:US
Mailing Address - Phone:815-577-1883
Mailing Address - Fax:815-577-2010
Practice Address - Street 1:24228 W. LOCKPORT STREET
Practice Address - Street 2:SUITE:- 102
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544
Practice Address - Country:US
Practice Address - Phone:815-577-1883
Practice Address - Fax:815-577-2010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-06
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0210021321223E0200X
IL0190264381223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty