| Adams Family Dental | |
|
5600 W 87th St Burbank IL 60459-2902 | |
| (708) 952-0000 | |
| (708) 952-0001 |
| Full Name | Adams Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5600 W 87th St, Burbank, Illinois |
| Authorized Official Name and Position | Sammy A Elmosa (OWNER) |
| Authorized Official Contact | 7089520000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adams Family Dental 5600 W 87th St Burbank IL 60459-2902 Ph: (708) 952-0000 | Adams Family Dental 5600 W 87th St Burbank IL 60459-2902 Ph: (708) 952-0000 |
| NPI Number | 1700176435 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 04/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700176435 | NPI | - | NPPES |
| 1004717 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019025131 (Illinois) | Primary |
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