Provider Demographics
NPI:1306478003
Name:THE TOOTH WHISPERER, INC
Entity type:Organization
Organization Name:THE TOOTH WHISPERER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:JANG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:847-997-8136
Mailing Address - Street 1:833 N CLARK ST UNIT 2206
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-3420
Mailing Address - Country:US
Mailing Address - Phone:847-997-8136
Mailing Address - Fax:
Practice Address - Street 1:4849 W BELMONT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-4330
Practice Address - Country:US
Practice Address - Phone:773-930-4943
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-10
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental