Provider Demographics
NPI:1780358812
Name:ALL ABOUT KIDS DENTISTRY, LLC
Entity type:Organization
Organization Name:ALL ABOUT KIDS DENTISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:URSITTI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:847-870-0475
Mailing Address - Street 1:3030 W SALT CREEK LN STE 130
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-5006
Mailing Address - Country:US
Mailing Address - Phone:847-870-0475
Mailing Address - Fax:847-870-7837
Practice Address - Street 1:3030 W SALT CREEK LN STE 130
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-5006
Practice Address - Country:US
Practice Address - Phone:847-870-0475
Practice Address - Fax:847-870-7837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-03
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty
No122300000XDental ProvidersDentistGroup - Single Specialty