Greenlee, Ted Gordon

Greenlee, Ted Gordon is an individual health care provider with primary practice located at 2028 E Riverside Blvd Suite 200, Loves Park IL 61111-4804. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is his primary health care specialty. Greenlee, Ted Gordon can be contacted via phone (815) 282-5300.

Contact Information

Primary practice address
2028 E Riverside Blvd Suite 200 Loves Park IL 61111-4804
Phone: (815) 282-5300
Fax: (815) 282-5306
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1861550287
LBN Legal business name Greenlee, Ted Gordon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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