Provider Demographics
NPI:1255340402
Name:HINSDALE PERIODONTICS & ENDODONTICS
Entity type:Organization
Organization Name:HINSDALE PERIODONTICS & ENDODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:W
Authorized Official - Last Name:BROWAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-655-3737
Mailing Address - Street 1:PO BOX 4656
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60522-4656
Mailing Address - Country:US
Mailing Address - Phone:630-655-3737
Mailing Address - Fax:
Practice Address - Street 1:828 N CASS AVE
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-1394
Practice Address - Country:US
Practice Address - Phone:630-655-3737
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL21-0010831223P0300X
IL21-0011411223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty