Provider Demographics
NPI:1699335760
Name:HIGH POINT DENTISTRY SCHAUMBURG PLLC
Entity type:Organization
Organization Name:HIGH POINT DENTISTRY SCHAUMBURG PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VU
Authorized Official - Middle Name:
Authorized Official - Last Name:KONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:517-414-9468
Mailing Address - Street 1:2505 W SCHAUMBURG RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-3887
Mailing Address - Country:US
Mailing Address - Phone:847-818-8266
Mailing Address - Fax:
Practice Address - Street 1:2505 W SCHAUMBURG RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-3887
Practice Address - Country:US
Practice Address - Phone:517-414-9468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-19
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental