Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Charles J Greenebaum, DDS

Individual provider General Practice Dentistry · NPI 1740341973

Dr. Charles J Greenebaum, DDS is a General Practice Dentistry in Flossmoor, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

19615 Governors Hwy
Flossmoor, IL 60422-2037
Phone: (708) 647-6453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (IL)

Record details

NPI number1740341973
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedDecember 12, 2006
Last updated in NPPESJuly 8, 2007
Mailing address19615 Governors Hwy, Flossmoor, IL 60422-2037

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