Periodontics & Implants, LTD.
Periodontics · Evanston, IL
Practice location
636 Church StSuite 707
Evanston, IL 60201-4508
- Phone
- (847) 491-1880
NPI record
- NPI
- 1962653600
- Entity type
- Organization (Type 2)
- Enumeration date
- September 30, 2008
- Last updated
- September 30, 2008
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Periodontics Primary | 1223P0300X |
021000596 | IL |
Authorized official
- Name
- Dr. Richard C Prendergast, D.D.S., M.S.
- Title
- President/Periodontist
- Phone
- (847) 491-1880
About Periodontics & Implants, LTD.
Periodontics & Implants, LTD. is a healthcare organization registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 636 Church St, Suite 707, Evanston, IL 60201-4508. The NPI number 1962653600 was assigned on September 30, 2008 and the record was last updated on September 30, 2008.
Periodontics & Implants, LTD. lists a license in the registry: #021000596 (IL) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Richard C Prendergast, D.D.S., M.S., President/Periodontist.
Frequently asked questions
What is the NPI number of Periodontics & Implants, LTD.?
The NPI number is 1962653600.
What is the phone number of Periodontics & Implants, LTD.?
The phone number listed for the practice location is (847) 491-1880.
Where is Periodontics & Implants, LTD. located?
636 Church St, Suite 707, Evanston, IL 60201-4508.
What is the taxonomy code for Periodontics & Implants, LTD.?
The primary taxonomy code is 1223P0300X – Periodontics.
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 Periodontics providers in Evanston
- Evanston Periodontics, LLC636 Church St