Doctor Name: | DR. FREDRIC S. TATEL |
NPI Number: | 1013915156 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S. |
License Number: | |
Business Practice Address: | 16345 Harlem Ave Tinley Park, IL - 604772589 |
Business Phone Number: | 7086338700 |
Business Fax Number: | |
Mailing Address: | 16345 Harlem Ave, TINLEY PARK |
State: | IL |
Postal Code: | 604772589 |
Phone Number: | 7086338700 |
Fax Number: | |
NPI Enumeration Date: | 07/12/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |