| Advanced Dental Care Of Cicero, Llc | |
|
130 W Jackson St Cicero IN 46034-5005 | |
| (317) 509-6499 | |
| Not Available |
| Full Name | Advanced Dental Care Of Cicero, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 130 W Jackson St, Cicero, Indiana |
| Authorized Official Name and Position | Denise Bever (REGIONAL MANAGER) |
| Authorized Official Contact | 3175096499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Care Of Cicero, Llc 130 W Jackson St Cicero IN 46034-5005 Ph: () - | Advanced Dental Care Of Cicero, Llc 130 W Jackson St Cicero IN 46034-5005 Ph: (317) 509-6499 |
| NPI Number | 1992563696 |
|---|---|
| Provider Enumeration Date | 03/08/2024 |
| Last Update Date | 03/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992563696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Thomas J Elliott D.d.s. , P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 W Jackson St, Cicero, IN 46034 Phone: 317-984-5676 | |
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