Andrew Kassaraba, D.D.S.

General Practice Dentistry · Park Ridge, IL

Individual Active NPI

NPI number 1427201573

Practice location

705 Devon Ave
Park Ridge, IL 60068-4754
Phone
(847) 825-4212
Fax
(847) 825-4216

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NPI record

NPI
1427201573
Entity type
Individual (Type 1)
Enumeration date
November 2, 2008
Last updated
November 2, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019018251 IL

About Dr. Kassaraba

Andrew Kassaraba, 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 705 Devon Ave, Park Ridge, IL 60068-4754. The NPI number 1427201573 was assigned on November 2, 2008 and the record was last updated on November 2, 2008.

Dr. Kassaraba lists a license in the registry: #019018251 (IL) 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 Andrew Kassaraba, D.D.S.?

The NPI number is 1427201573.

What is the phone number of Dr. Kassaraba?

The phone number listed for the practice location is (847) 825-4212.

Where is Dr. Kassaraba located?

705 Devon Ave, Park Ridge, IL 60068-4754.

What is the taxonomy code for Dr. Kassaraba?

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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