| Gregory L. Fauth, D.d.s.,p.c. | |
|
1940 W Galena Blvd Suite 4 Aurora IL 60506-4319 | |
| (630) 896-2900 | |
| (630) 896-2968 |
| Full Name | Gregory L. Fauth, D.d.s.,p.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1940 W Galena Blvd, Aurora, Illinois |
| Authorized Official Name and Position | Gregory L. Fauth (PRESIDENT) |
| Authorized Official Contact | 6308962900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory L. Fauth, D.d.s.,p.c. 1940 W Galena Blvd Suite 4 Aurora IL 60506-4319 Ph: (630) 896-2900 | Gregory L. Fauth, D.d.s.,p.c. 1940 W Galena Blvd Suite 4 Aurora IL 60506-4319 Ph: (630) 896-2900 |
| NPI Number | 1184736241 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 06/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184736241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 211159 (Illinois) | Primary |
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