Provider Demographics
NPI:1447504667
Name:CHILDREN'S ORAL CARE ONLY, P.C.
Entity type:Organization
Organization Name:CHILDREN'S ORAL CARE ONLY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOLTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:847-478-8100
Mailing Address - Street 1:185 MILWAUKEE AVE
Mailing Address - Street 2:SUITE140
Mailing Address - City:LINCOLNSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60069-3010
Mailing Address - Country:US
Mailing Address - Phone:847-478-8100
Mailing Address - Fax:847-478-8812
Practice Address - Street 1:185 MILWAUKEE AVE
Practice Address - Street 2:SUITE140
Practice Address - City:LINCOLNSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60069-3010
Practice Address - Country:US
Practice Address - Phone:847-478-8100
Practice Address - Fax:847-478-8812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0021001323261QD0000X
IL019019265261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental