Provider Demographics
NPI:1134541881
Name:DENTAL POINTE
Entity type:Organization
Organization Name:DENTAL POINTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RANI
Authorized Official - Middle Name:
Authorized Official - Last Name:SEETH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-408-2441
Mailing Address - Street 1:1 TREVINO CT
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-6600
Mailing Address - Country:US
Mailing Address - Phone:630-408-2441
Mailing Address - Fax:630-303-9745
Practice Address - Street 1:760 N ROUTE 59
Practice Address - Street 2:SUITE 100
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-2514
Practice Address - Country:US
Practice Address - Phone:630-333-9571
Practice Address - Fax:630-303-9745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190268661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty