Klenetsky, Allan David

Klenetsky, Allan David is an individual health care provider with primary practice located at 1126 Westgate St , Oak Park IL 60301-1008. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Klenetsky, Allan David can be contacted via phone (708) 383-8851.

Contact Information

Primary practice address
1126 Westgate St Oak Park IL 60301-1008
Phone: (708) 383-8851
Fax: (708) 383-6272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X Illinois

Profile Details

NPI number 1578602082
LBN Legal business name Klenetsky, Allan David
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Mar 6th, 2008 - about 16 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 1578602082 NPPES
Illinois Other K48429 PTAN

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