# HANSON & SEVANDAL DENTISTRY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1366861296
- **Authorized official:** DR. MAUREEN SEVANDAL DDS (MEMBER)
- **Authorized official phone:** (312) 493-6102

## Contact information

- **Practice address:** 2570 FOXFIELD RD STE 203, ST CHARLES, IL 60174-1406
- **Practice address phone:** (630) 587-4444
- **Practice address fax:** (630) 587-5811
- **Mailing address:** 2570 FOXFIELD RD STE 203, ST CHARLES, IL 60174-1406
- **Mailing address phone:** (630) 587-4444
- **Mailing address fax:** (630) 587-5811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 019.026706 | IL | Yes |
| 1223P0221X | Pediatric Dentistry | 019026649 | IL | — |

## Other

- **Enumeration date:** 04/08/2014
- **Last updated:** 04/08/2014