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NPI Code Detail

MEDICARE: ARLINGTON ORTHODONTICS PC

MEDICARE: ARLINGTON ORTHODONTICS PC
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
11223X0400XOrthodontics and Dentofacial Orthopedics DentistryIL

General Provider Information

NPI Number : 1770646143
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARLINGTON ORTHODONTICS PC
Provider Business Mailing Address
First Line : 1420 N ARLINGTON HTS RD
Second Line : ARLINGTON ORTHODONTICS PC
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004
Country : US
Telephone Number : 847-255-3020
Fax Number : 847-255-3036
Provider Business Practice Location Address
First Line : 1420 N ARLINGTON HTS RD
Second Line : ARLINGTON ORTHODONTICS PC
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004
Country : US
Telephone Number : 847-255-3020
Fax Number : 847-255-3036
Authorized Official
Title or Position : PRESIDENT
Name : DR. JEFFREY C KEMP
Credential : DDS
Telephone Number : 847-255-3020
Provider Enumeration Date : 12/18/2006
Last Update Date : 08/22/2020

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Directions to “ARLINGTON ORTHODONTICS PC ” Practice Location

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