Provider Demographics
NPI:1194087189
Name:GEORGE F. WARGA DDS
Entity type:Organization
Organization Name:GEORGE F. WARGA DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTISTRY
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:F
Authorized Official - Last Name:WARGA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-441-6510
Mailing Address - Street 1:485 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:WINNETKA
Mailing Address - State:IL
Mailing Address - Zip Code:60093-2438
Mailing Address - Country:US
Mailing Address - Phone:847-441-6510
Mailing Address - Fax:847-441-0510
Practice Address - Street 1:485 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:WINNETKA
Practice Address - State:IL
Practice Address - Zip Code:60093-2438
Practice Address - Country:US
Practice Address - Phone:847-441-6510
Practice Address - Fax:847-441-0510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190199331223G0001X, 1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty