Provider Demographics
NPI:1134407497
Name:RUBEN E. ALARCON DDS, LTD.
Entity type:Organization
Organization Name:RUBEN E. ALARCON DDS, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALARCON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-323-0610
Mailing Address - Street 1:211 W CHICAGO AVE
Mailing Address - Street 2:SUITE 115
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3355
Mailing Address - Country:US
Mailing Address - Phone:630-323-0610
Mailing Address - Fax:
Practice Address - Street 1:211 W CHICAGO AVE
Practice Address - Street 2:SUITE 115
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3355
Practice Address - Country:US
Practice Address - Phone:630-323-0610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-0226441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty