MEDICARE: DR. KENNETH B. KAPLIN D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry		IL

General Provider Information

NPI Number	:	1023239738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH B. KAPLIN D.D.S.

Provider Business Mailing Address
First Line	:	311 S ARLINGTON HEIGHTS RD STE 104
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-1956
Country	:	US
Telephone Number	:	847-253-2300
Fax Number	:	847-253-5048

Provider Business Practice Location Address
First Line	:	311 S ARLINGTON HEIGHTS RD STE 104
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-1956
Country	:	US
Telephone Number	:	847-253-2300
Fax Number	:	847-253-5048

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	07/08/2007

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