Provider Demographics
NPI:1952460925
Name:ALAN T KRAKORA, DDS, PC
Entity Type:Organization
Organization Name:ALAN T KRAKORA, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:TERENCE
Authorized Official - Last Name:KRAKORA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-358-7282
Mailing Address - Street 1:4 S NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-6231
Mailing Address - Country:US
Mailing Address - Phone:847-358-7282
Mailing Address - Fax:847-991-1559
Practice Address - Street 1:4 S NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-6231
Practice Address - Country:US
Practice Address - Phone:847-358-7282
Practice Address - Fax:847-991-1559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty