# ALEXANDER KATSNELSON DMD PC

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

## Provider details

- **NPI number:** 1053663872
- **Authorized official:** ALEXANDER KATSNELSON DMD (PRESIDENT)
- **Authorized official phone:** (847) 902-9922

## Contact information

- **Practice address:** 488 THORNDALE DR, BUFFALO GROVE, IL 60089-6700
- **Practice address phone:** (847) 902-9922
- **Practice address fax:** (888) 846-4758
- **Mailing address:** 488 THORNDALE DR, BUFFALO GROVE, IL 60089-6700
- **Mailing address phone:** (847) 902-9922
- **Mailing address fax:** (888) 846-4758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 021002389 | IL | Yes |

## Other

- **Enumeration date:** 10/03/2012
- **Last updated:** 10/03/2012