| Advanced Dental And Implant Care Pc | |
|
2310 Huntington Dr. N. Algonquin IL 60102 | |
| (847) 854-1200 | |
| (847) 854-4080 |
| Full Name | Advanced Dental And Implant Care Pc |
|---|---|
| Speciality | Dentist |
| Location | 2310 Huntington Dr. N., Algonquin, Illinois |
| Authorized Official Name and Position | Christopher R Pottorff (PRESIDENT) |
| Authorized Official Contact | 8478541200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental And Implant Care Pc 2310 Huntington Dr N. Algonquin IL 60102 Ph: (847) 854-1200 | Advanced Dental And Implant Care Pc 2310 Huntington Dr. N. Algonquin IL 60102 Ph: (847) 854-1200 |
| NPI Number | 1578001830 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 03/01/2019 |
| Medicare PECOS PAC ID | 1951643790 |
|---|---|
| Medicare Enrollment ID | O20190429000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578001830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019.024833 (Illinois) | Primary |
| Provider Name | Christopher R Pottorff |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1790811644 PECOS PAC ID: 5092902049 Enrollment ID: I20101203000309 |
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