Provider Demographics
NPI:1104924695
Name:TEJANI, DIMPLE (DDS)
Entity type:Individual
Prefix:DR
First Name:DIMPLE
Middle Name:
Last Name:TEJANI
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 1:121 W WING ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-1433
Mailing Address - Country:US
Mailing Address - Phone:847-255-3185
Mailing Address - Fax:847-244-9890
Practice Address - Street 1:121 W WING ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-1433
Practice Address - Country:US
Practice Address - Phone:847-255-3185
Practice Address - Fax:847-255-9890
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-0254741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice