| Addison Dental | |
|
1201 W Army Trail Blvd Suite 2 Addison IL 60101-3152 | |
| (630) 543-8688 | |
| (630) 543-8692 |
| Full Name | Addison Dental |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1201 W Army Trail Blvd, Addison, Illinois |
| Authorized Official Name and Position | Lawrence Groh (OWNER/PRESIDENT) |
| Authorized Official Contact | 6308335110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addison Dental 333 W 1st St Elmhurst IL 60126-2641 Ph: (630) 833-5110 | Addison Dental 1201 W Army Trail Blvd Suite 2 Addison IL 60101-3152 Ph: (630) 543-8688 |
| NPI Number | 1073954723 |
|---|---|
| Provider Enumeration Date | 07/10/2013 |
| Last Update Date | 07/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073954723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019014858 (Illinois) | Primary |
Smiles Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W Army Trail Blvd, Unit D, Addison, IL 60101 Phone: 630-458-0555 | |
Esha Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1409 W Lake St, Addison, IL 60101 Phone: 630-660-8929 | |
Signature Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 N Swift Rd, Suite G, Addison, IL 60101 Phone: 630-627-7626 Fax: 630-627-7626 | |
Addison Swift Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 N Swift Rd Ste G, Addison, IL 60101 Phone: 630-627-7626 | |
Familia Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W. Lake St., Addison, IL 60101 Phone: 630-628-3115 Fax: 630-628-3116 | |
Mallard Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 S Addison Rd, Ste 101, Addison, IL 60101 Phone: 630-834-4343 Fax: 630-834-6308 |