Provider Demographics
NPI:1972677243
Name:KALANT, DON C SR (DDS)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:C
Last Name:KALANT
Suffix:SR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 MACOM DRIVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-3202
Mailing Address - Country:US
Mailing Address - Phone:630-851-9100
Mailing Address - Fax:630-851-6983
Practice Address - Street 1:1303 MACOM DRIVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-3202
Practice Address - Country:US
Practice Address - Phone:630-851-9100
Practice Address - Fax:630-851-6983
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL021001314122300000X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILW58834Medicare UPIN
W58834Medicare UPIN
924660Medicare ID - Type Unspecified