Provider Demographics
NPI:1356550370
Name:DRS PAPWORTH VARGAS & ASSOCIATESLTD,PC
Entity type:Organization
Organization Name:DRS PAPWORTH VARGAS & ASSOCIATESLTD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:PAPWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-537-0001
Mailing Address - Street 1:125 E LAKE COOK RD
Mailing Address - Street 2:SUITE 121
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-4356
Mailing Address - Country:US
Mailing Address - Phone:847-537-0001
Mailing Address - Fax:847-537-9305
Practice Address - Street 1:125 E LAKE COOK RD
Practice Address - Street 2:SUITE 121
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-4356
Practice Address - Country:US
Practice Address - Phone:847-537-0001
Practice Address - Fax:847-537-9305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0192481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty