Provider Demographics
NPI:1427329317
Name:SEFCHECK, MARCIA ENGLEMAN (DDS)
Entity type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:ENGLEMAN
Last Name:SEFCHECK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MARCIA
Other - Middle Name:ANITA
Other - Last Name:ENGLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:129 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-4511
Mailing Address - Country:US
Mailing Address - Phone:630-961-1049
Mailing Address - Fax:630-961-9720
Practice Address - Street 1:129 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-4511
Practice Address - Country:US
Practice Address - Phone:630-961-1049
Practice Address - Fax:630-961-9720
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.017289122300000X
IL021.0011491223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
No122300000XDental ProvidersDentist