Search › Illinois › 122300000X
Jonathan Gifford, DDS
NPI 1003187956 · on the registry since 2012 · sole proprietor
Practice
- Address
- 435 W Prospect Ave
Mount Prospect, IL 60056 - Phone
- (847) 255-9690
- Organisation at this address
- Heck & Heck, Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- IL, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-03-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois