Gregory L. Fauth, D.d.s.,p.c.

NPI #1184736241 in Aurora, Illinois

Provider Information

NPI Number: 1184736241
Entity Type: Organization
Organization Name: Gregory L. Fauth, D.d.s.,p.c.
Primary Specialty: Dentist - Periodontics
Enumeration Date: Aug 31, 2006
Last Updated: Jun 4, 2012

Practice Location

Address: 1940 W GALENA BLVD
Address 2: SUITE 4
City: Aurora
State: Illinois
ZIP Code: 60506-4319
Phone: (630) 896-2900

Authorized Official

Name: DR. GREGORY L. FAUTH, D.D.S.
Title: PRESIDENT
Phone: (630) 896-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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