Faith, Peter Ernest

Faith, Peter Ernest is an individual health care provider with primary practice located at 1645 Irving Park Rd #202, Hanover Park IL 60133. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Faith, Peter Ernest can be contacted via phone (630) 837-5156.

Contact Information

Primary practice address
1645 Irving Park Rd #202 Hanover Park IL 60133
Phone: (630) 837-5156
Fax: (630) 837-5156
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019023574 Illinois
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 021001842 Illinois

Profile Details

NPI number 1679730949
LBN Legal business name Faith, Peter Ernest
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated May 22nd, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679730949 NPPES
Illinois MEDICAID 1005299

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