Provider Demographics
NPI:1104417849
Name:TOPLINE SPECIALTY DENTAL P.C.
Entity type:Organization
Organization Name:TOPLINE SPECIALTY DENTAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RATHIDEVI
Authorized Official - Middle Name:
Authorized Official - Last Name:SUBRAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-890-2186
Mailing Address - Street 1:3804 NANNYBERRY CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-2022
Mailing Address - Country:US
Mailing Address - Phone:847-890-2186
Mailing Address - Fax:
Practice Address - Street 1:1521 OGDEN AVE STE 109
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60503-9300
Practice Address - Country:US
Practice Address - Phone:630-984-1112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty