# ABC DENTISTRY, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043352354
- **Authorized official:** JENNIFER ANN REYES (OFFICE MANAGER)
- **Authorized official phone:** (847) 882-3360

## Contact information

- **Practice address:** 80 W HILLCREST BLVD STE 212, SCHAUMBURG, IL 60195
- **Practice address phone:** (847) 882-3360
- **Practice address fax:** (847) 882-3383
- **Mailing address:** 80 W HILLCREST BLVD STE 212, SCHAUMBURG, IL 60195-3111
- **Mailing address phone:** (847) 882-3360
- **Mailing address fax:** (847) 882-3383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 019.021872 | IL | — |
| 1223P0221X | Pediatric Dentistry | 019.015237 | IL | — |
| 1223P0221X | Pediatric Dentistry | 019.021868 | IL | Yes |
| 1223P0221X | Pediatric Dentistry | 019.023646 | IL | — |
| 1223P0221X | Pediatric Dentistry | 019.025711 | IL | — |
| 1223P0221X | Pediatric Dentistry | 019.026464 | IL | — |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 06/27/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 019.021868 | — | IL |