Provider Demographics
NPI:1184671893
Name:DANIEL A DOHNALEK DDS LTD
Entity type:Organization
Organization Name:DANIEL A DOHNALEK DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDANT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOHNALEK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-438-6489
Mailing Address - Street 1:48 S OLD RAND RD
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-3125
Mailing Address - Country:US
Mailing Address - Phone:847-438-6485
Mailing Address - Fax:847-438-6496
Practice Address - Street 1:48 S OLD RAND RD
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-3125
Practice Address - Country:US
Practice Address - Phone:847-438-6485
Practice Address - Fax:847-438-6496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty