Charles J. Tannenbaum, DDS

Dentist · McHenry, IL

Individual Active NPI

NPI number 1720252224

Practice location

5404 W Elm St
Ste F
McHenry, IL 60050-4052
Phone
(815) 759-0871
Fax
(815) 759-0875

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NPI record

NPI
1720252224
Entity type
Individual (Type 1)
Enumeration date
April 15, 2008
Last updated
January 1, 2012
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019-015317 IL

About Dr. Tannenbaum

Charles J. Tannenbaum, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 5404 W Elm St, Ste F, McHenry, IL 60050-4052. The NPI number 1720252224 was assigned on April 15, 2008 and the record was last updated on January 1, 2012.

Dr. Tannenbaum lists a license in the registry: #019-015317 (IL) 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 Charles J. Tannenbaum, DDS?

The NPI number is 1720252224.

What is the phone number of Dr. Tannenbaum?

The phone number listed for the practice location is (815) 759-0871.

Where is Dr. Tannenbaum located?

5404 W Elm St, Ste F, McHenry, IL 60050-4052.

What is the taxonomy code for Dr. Tannenbaum?

The primary taxonomy code is 122300000X – Dentist.

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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