Provider Demographics
NPI:1992496368
Name:TEETH AND THINGS PLLC
Entity type:Organization
Organization Name:TEETH AND THINGS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSALES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:773-750-0351
Mailing Address - Street 1:1828 N 79TH CT
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60707-3511
Mailing Address - Country:US
Mailing Address - Phone:773-750-0351
Mailing Address - Fax:
Practice Address - Street 1:333 CIRCLE AVE
Practice Address - Street 2:
Practice Address - City:FOREST PARK
Practice Address - State:IL
Practice Address - Zip Code:60130-3624
Practice Address - Country:US
Practice Address - Phone:708-771-0330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty