DENTAL ON 45 INC
NPI 1184033839
Dentist in Third Lake, IL

Active since August 07, 2014
34484 N US HIGHWAY 45, SUITE C, THIRD LAKE, IL 60030(224) 541-4066(847) 752-8425 Get Directions Write a Review

NPPES record last updated: August 7, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dental On 45 Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENTAL ON 45 INC (NPI 1184033839) is a healthcare organization registered as a dentist in Third Lake, Illinois and active in the NPI registry since August 2014. The organization lists Marlen Fajardo, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1184033839
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameDENTAL ON 45 INC
Location Address34484 N US HIGHWAY 45, SUITE CThird Lake, IL 60030-4038
Mailing Address34484 N Us Highway 45, Suite CThird Lake, IL 60030-4038 · (224) 541-4066 · Fax (847) 752-8425
Fax(847) 752-8425
Organization SubpartNo
Authorized OfficialMarlen FajardoOffice Manager · (224) 541-4066
Enumeration DateAugust 7, 2014
NPI 1184033839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

34484 N US HIGHWAY 45, Third Lake, IL 60030

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
34484 N US HIGHWAY 45, SUITE C
THIRD LAKE, IL 60030
Clinic/Center (Dental)
34484 N US HIGHWAY 45, SUITE C
THIRD LAKE, IL 60030
Dentist (General Practice)
34484 N US HIGHWAY 45, SUITE C
THIRD LAKE, IL 60030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184033839, enumerated as an "organization" on August 07, 2014.

The provider is located at 34484 N US HIGHWAY 45 SUITE C THIRD LAKE, IL 60030 and the phone number is (224) 541-4066.

Dentist with taxonomy code 122300000X.