Healthcare Provider Details

I. General information

NPI: 1730011883
Provider Name (Legal Business Name): ADVANCED ENDODONTIC SPECIALISTS, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 EXECUTIVE CT STE 102
SOUTH BARRINGTON IL
60010-9507
US

IV. Provider business mailing address

2 EXECUTIVE CT STE 102
SOUTH BARRINGTON IL
60010-9507
US

V. Phone/Fax

Practice location:
  • Phone: 847-277-9911
  • Fax: 847-277-9922
Mailing address:
  • Phone: 847-277-9911
  • Fax: 847-277-9922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHARA LINDEN
Title or Position: OFFICE MANAGER
Credential:
Phone: 847-277-9911