Provider Demographics
NPI:1831985928
Name:MR TEETH DENTAL AND IMPLANT CO.
Entity type:Organization
Organization Name:MR TEETH DENTAL AND IMPLANT CO.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HATEM
Authorized Official - Middle Name:
Authorized Official - Last Name:GELANI
Authorized Official - Suffix:IX
Authorized Official - Credentials:DDS
Authorized Official - Phone:617-380-8663
Mailing Address - Street 1:3203 111TH ST APT 107
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-0006
Mailing Address - Country:US
Mailing Address - Phone:617-380-8663
Mailing Address - Fax:617-380-8663
Practice Address - Street 1:552 S WASHINGTON ST STE 220
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6670
Practice Address - Country:US
Practice Address - Phone:617-380-8663
Practice Address - Fax:708-527-0656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-16
Last Update Date:2025-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Multi-Specialty