Glenn R. Gavin, D.D.S.

General Practice Dentistry · Glen Ellyn, IL

Individual Active NPI

NPI number 1831202712

Practice location

586 Duane St Ste 101
Glen Ellyn, IL 60137-4639
Phone
(630) 545-0151
Fax
(630) 545-9155

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NPI record

NPI
1831202712
Entity type
Individual (Type 1)
Enumeration date
August 16, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — IL

Mailing address

6015 Hillcrest Ct
Downers Grove, IL 60516-1778
Phone
(630) 852-6451
Fax
(630) 545-9155

About Dr. Gavin

Glenn R. Gavin, 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 586 Duane St Ste 101, Glen Ellyn, IL 60137-4639. The NPI number 1831202712 was assigned on August 16, 2006 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Glenn R. Gavin, D.D.S.?

The NPI number is 1831202712.

What is the phone number of Dr. Gavin?

The phone number listed for the practice location is (630) 545-0151.

Where is Dr. Gavin located?

586 Duane St Ste 101, Glen Ellyn, IL 60137-4639.

What is the taxonomy code for Dr. Gavin?

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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