Provider Demographics
NPI:1013090968
Name:ORLAND, ANN KORKATSCH (DDS)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:KORKATSCH
Last Name:ORLAND
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 WEST ELM ST
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187
Mailing Address - Country:US
Mailing Address - Phone:630-653-6593
Mailing Address - Fax:630-665-4454
Practice Address - Street 1:111 WEST WESLEY ST
Practice Address - Street 2:STUIE 6
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187
Practice Address - Country:US
Practice Address - Phone:630-653-6593
Practice Address - Fax:630-665-4454
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist