Provider Demographics
NPI:1255871653
Name:DAVID R. TUROK, DDS,PC
Entity type:Organization
Organization Name:DAVID R. TUROK, DDS,PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:TUROK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-498-4555
Mailing Address - Street 1:1500 SHERMER RD STE 123
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-5343
Mailing Address - Country:US
Mailing Address - Phone:847-498-4555
Mailing Address - Fax:
Practice Address - Street 1:1500 SHERMER RD STE 123
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-5343
Practice Address - Country:US
Practice Address - Phone:847-498-4555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190274884261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental