Charles William Paddock III, D.D.S.

General Practice Dentistry · Great Lakes, IL

Individual Active NPI

NPI number 1285604009

Practice location

3001a Sixth St
Great Lakes, IL 60088
Phone
(847) 688-3331

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NPI record

NPI
1285604009
Entity type
Individual (Type 1)
Enumeration date
January 24, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 36817 CA

Mailing address

307 Cedar Ridge Dr
Lake Villa, IL 60046-6459
Phone
(847) 688-3331

About Dr. Paddock

Charles William Paddock III, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3001a Sixth St, Great Lakes, IL 60088. The NPI number 1285604009 was assigned on January 24, 2006 and the record was last updated on July 8, 2007.

Dr. Paddock lists a license in the registry: #36817 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Charles William Paddock III, D.D.S.?

The NPI number is 1285604009.

What is the phone number of Dr. Paddock?

The phone number listed for the practice location is (847) 688-3331.

Where is Dr. Paddock located?

3001a Sixth St, Great Lakes, IL 60088.

What is the taxonomy code for Dr. Paddock?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.

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