Individual
DR. HERBERT DENNIS STITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1131 RANDALL CT, GENEVA, IL 60134-3911
(630) 208-6700
(630) 208-6709
Mailing address
1131 RANDALL CT, GENEVA, IL 60134-3911
(630) 208-6700
(630) 208-6709
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
01917449
IL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
019.017449
IL
Other
Enumeration date
01/01/2007
Last updated
12/16/2021
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