Provider Demographics
NPI:1366612889
Name:SCHAUMBURG DENTAL CARE, PC
Entity type:Organization
Organization Name:SCHAUMBURG DENTAL CARE, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAYANK
Authorized Official - Middle Name:R
Authorized Official - Last Name:ADATIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-310-0100
Mailing Address - Street 1:932 BODE RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-2702
Mailing Address - Country:US
Mailing Address - Phone:847-769-4132
Mailing Address - Fax:630-544-5708
Practice Address - Street 1:932 BODE RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-2702
Practice Address - Country:US
Practice Address - Phone:847-769-4132
Practice Address - Fax:847-310-6796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental