Allied Dental Asso & Lab | |
15335 Page Ave Harvey IL 60426 | |
(708) 331-3236 | |
(708) 331-2590 |
Full Name | Allied Dental Asso & Lab |
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Speciality | Dentist |
Location | 15335 Page Ave, Harvey, Illinois |
Authorized Official Name and Position | Michael T Jones (PRESIDENT) |
Authorized Official Contact | 7083313236 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Allied Dental Asso & Lab 15335 Page Ave Harvey IL 60426 Ph: (708) 331-3236 | Allied Dental Asso & Lab 15335 Page Ave Harvey IL 60426 Ph: (708) 331-3236 |
NPI Number | 1932243433 |
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Provider Enumeration Date | 02/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932243433 | NPI | - | NPPES |
101487 | Medicaid | IL | |
101467 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (Illinois) | Primary |
Family Christian Health Center Dental Clinic Medicare: Medicare Enrolled Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-339-3583 |