Provider Demographics
NPI:1881756682
Name:HARTLIEB, DENNIS B (DDS)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:B
Last Name:HARTLIEB
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 COMPASS RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-8077
Mailing Address - Country:US
Mailing Address - Phone:847-729-6080
Mailing Address - Fax:847-729-7809
Practice Address - Street 1:2601 COMPASS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60026-8077
Practice Address - Country:US
Practice Address - Phone:847-729-6080
Practice Address - Fax:847-729-7809
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19A215511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice