Provider Demographics
NPI:1396087565
Name:JANNET LAPLANCHE D.D.S. P.C.
Entity type:Organization
Organization Name:JANNET LAPLANCHE D.D.S. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JANNET
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPLANCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-424-3010
Mailing Address - Street 1:9725 S KEDZIE AVE
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60805-3124
Mailing Address - Country:US
Mailing Address - Phone:708-424-3010
Mailing Address - Fax:708-425-2648
Practice Address - Street 1:9725 S KEDZIE AVE
Practice Address - Street 2:
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-3124
Practice Address - Country:US
Practice Address - Phone:708-424-3010
Practice Address - Fax:708-425-2648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-26
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.028107122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty