Provider Demographics
NPI:1871314286
Name:JIM LIMPERIS, DMD INC.
Entity type:Organization
Organization Name:JIM LIMPERIS, DMD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARITSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-482-1070
Mailing Address - Street 1:3612 LAKE AVE UNIT 2A
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-1000
Mailing Address - Country:US
Mailing Address - Phone:847-256-1900
Mailing Address - Fax:
Practice Address - Street 1:3612 LAKE AVE UNIT 2A
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-1000
Practice Address - Country:US
Practice Address - Phone:847-256-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty