Provider Demographics
NPI:1841350840
Name:ANNE F SOLUS DDS PC
Entity type:Organization
Organization Name:ANNE F SOLUS DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:F
Authorized Official - Last Name:SOLUS GAFFNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:708-349-7232
Mailing Address - Street 1:15717 WOLF ROAD
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-4543
Mailing Address - Country:US
Mailing Address - Phone:708-349-7232
Mailing Address - Fax:708-349-7478
Practice Address - Street 1:15717 WOLF ROAD
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-4543
Practice Address - Country:US
Practice Address - Phone:708-349-7232
Practice Address - Fax:708-349-7478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019019230122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty