Provider Demographics
NPI:1144485202
Name:GEORGE, DENNIS JAMES (DDS)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:JAMES
Last Name:GEORGE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 N MICHIGAN AVE STE 920W
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2211
Mailing Address - Country:US
Mailing Address - Phone:312-944-5433
Mailing Address - Fax:312-944-5436
Practice Address - Street 1:845 N MICHIGAN AVE STE 920W
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2211
Practice Address - Country:US
Practice Address - Phone:312-944-5433
Practice Address - Fax:312-944-5436
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0143051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice