Scott Overholser D.D.S.

NPI 1053578260 - Dentist - 1223G0001X

NPI Details
NPI 1053578260
Gender Male
Enumeration Date 05/16/2008
Last Updated 05/16/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
830 W DIVERSEY PKWY
PARK WEST DENTAL ASSOCIATES
CHICAGO IL, 60614-1454, US
Phone (773) 880-6054
Fax (773) 880-6053
Business Location
830 W DIVERSEY PKWY
PARK WEST DENTAL ASSOCIATES
CHICAGO IL, 60614-1454, US
Phone (773) 880-6054
Fax (773) 880-6053
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019026260
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According to our database, Dr. Scott Overholser D.D.S. NPI is 1053578260, taxonomy code is 1223G0001X and license number is 019026260, license state is located at Illinois. Scott Overholser D.D.S. physically located at 830 W Diversey Pkwy, Chicago IL, 60614-1454. NPI Number Scott Overholser D.D.S. has the Individual type.

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1053578260 NPI number is provided on an as is basis without warranty of any kind. 1053578260 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Overholser D.D.S. are for informational purposes only.