Provider Demographics
NPI:1548375710
Name:DOLCE, HELENE M (DDS)
Entity type:Individual
Prefix:DR
First Name:HELENE
Middle Name:M
Last Name:DOLCE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 PETERSON RD.
Mailing Address - Street 2:SUITE B
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-1041
Mailing Address - Country:US
Mailing Address - Phone:847-680-3560
Mailing Address - Fax:847-680-3561
Practice Address - Street 1:301 PETERSON RD.
Practice Address - Street 2:SUITE B
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-1041
Practice Address - Country:US
Practice Address - Phone:847-680-3560
Practice Address - Fax:847-680-3561
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0210018351223S0112X
IL190-24119204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery
No1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL021001835OtherORAL & MAXILLOFACIAL SURG
IL137000425OtherGENERAL ANES PERMIT
IL019024119OtherDENTIST
IL319012811OtherCONTROLLED SUBSTANCE