Provider Demographics
NPI:1548339781
Name:ROBERT J POKORNY DDS LTD
Entity type:Organization
Organization Name:ROBERT J POKORNY DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST ORTHODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:POKORNY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-892-1110
Mailing Address - Street 1:1940 W GALENA BLVD
Mailing Address - Street 2:STE 9
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-4358
Mailing Address - Country:US
Mailing Address - Phone:630-892-1110
Mailing Address - Fax:630-892-1139
Practice Address - Street 1:1940 W GALENA BLVD
Practice Address - Street 2:STE 9
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-4358
Practice Address - Country:US
Practice Address - Phone:630-892-1110
Practice Address - Fax:630-892-1139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty