Jonathan L. Gifford, DDS

Dentist · Mount Prospect, IL

Individual Active NPI

NPI number 1003187956

Practice location

435 W Prospect Ave
Mount Prospect, IL 60056-3031
Phone
(847) 255-9690

Open in Google Maps

NPI record

NPI
1003187956
Entity type
Individual (Type 1)
Enumeration date
January 24, 2012
Last updated
March 2, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019030941 IL
Dentist 122300000X DD4038 NM

Mailing address

783 Mark Ave
Des Plaines, IL 60016-1109
Phone
(414) 916-2863

About Dr. Gifford

Jonathan L. Gifford, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 435 W Prospect Ave, Mount Prospect, IL 60056-3031. The NPI number 1003187956 was assigned on January 24, 2012 and the record was last updated on March 2, 2017.

Dr. Gifford lists 2 licenses in the registry: #019030941 (IL) for Dentist; #DD4038 (NM) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan L. Gifford, DDS?

The NPI number is 1003187956.

What is the phone number of Dr. Gifford?

The phone number listed for the practice location is (847) 255-9690.

Where is Dr. Gifford located?

435 W Prospect Ave, Mount Prospect, IL 60056-3031.

What is the taxonomy code for Dr. Gifford?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Mount Prospect

All Dentist providers in Mount Prospect, IL →