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NPI Code Detail

MEDICARE: DR. DAVID KRAVTSOV D.D.S

MEDICARE:  DR. DAVID  KRAVTSOV  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
11223G0001XGeneral Practice DentistryIL

General Provider Information

NPI Number : 1669407961
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID KRAVTSOV D.D.S
Provider Business Mailing Address
First Line : 819 FOSTER ST
Second Line : 4N
City : EVANSTON
State : IL
Zip : 60201-6143
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 605 E ALGONQUIN RD
Second Line : SUITE 400
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-4373
Country : US
Telephone Number : 847-640-1122
Fax Number : 847-640-1160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 07/21/2022

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Directions to “ DR. DAVID KRAVTSOV D.D.S” Practice Location

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