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Dr. Brian C. Gniadek, DDS
General Practice Dentistry in Lindenhurst, Illinois
NPI 1194878959

Brian C. Gniadek is a General Practice Dentistry based in Lindenhurst, IL and is specialized in General Practice. Brian C. Gniadek practices in Lindenhurst, IL and has the professional credentials of DDS. The NPI Number for Brian C. Gniadek is 1194878959 and holds a License No. 019-022558 (Illinois).

The current practice location address for Brian C. Gniadek is 2031 E Grand Ave Ste 101, Lindenhurst, IL and can be reached out via phone at 847-265-9070 and via fax at 847-265-9279.

Location: 2031 E Grand Ave Ste 101, Lindenhurst, IL, 60046-9094
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194878959
Provider Name
Brian C. Gniadek
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2031 E Grand Ave Ste 101, Lindenhurst, IL, 60046-9094
Phone Number
847-265-9070
Fax Number
847-265-9279
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36-4247595 01 IL TAX ID
784607 01 IL UCCI PROVIDER #
institution
Provider Business Practice Location Address Details
Address
2031 E Grand Ave Ste 101
City
Lindenhurst
State
Illinois
Zip
60046-9094
Phone Number
847-265-9070
Fax Number
847-265-9279
person
Provider Business Mailing Address Details
Address
2031 E Grand Ave Ste 101
City
Lindenhurst
State
Illinois
Zip
60046-9094
Phone Number
847-265-9070
Fax Number
847-265-9279
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019-022558 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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