# IRWIN M SEIDMAN DDS PC

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

## Provider details

- **NPI number:** 1831301225
- **Authorized official:** DR. IRWIN MICHAEL SEIDMAN DDS (PRESIDENT)
- **Authorized official phone:** (847) 991-4663

## Contact information

- **Practice address:** 600 N NORTH CT, PALATINE, IL 60067-8155
- **Practice address phone:** (847) 991-4663
- **Mailing address:** 600 N NORTH CT, PALATINE, IL 60067-8155
- **Mailing address phone:** (847) 991-4663

## Taxonomy

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

## Other

- **Enumeration date:** 05/05/2007
- **Last updated:** 08/22/2020