Bartlett Dental Office | |
988 S Bartlett Rd Bartlett IL 60103-6500 | |
(630) 289-4288 | |
(630) 289-4468 |
Full Name | Bartlett Dental Office |
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Speciality | Dentist |
Location | 988 S Bartlett Rd, Bartlett, Illinois |
Authorized Official Name and Position | Angela Bogacki Skidmore (PRESIDENT) |
Authorized Official Contact | 6302894288 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bartlett Dental Office 988 S Bartlett Rd Bartlett IL 60103-6500 Ph: (630) 289-4288 | Bartlett Dental Office 988 S Bartlett Rd Bartlett IL 60103-6500 Ph: (630) 289-4288 |
NPI Number | 1518375211 |
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Provider Enumeration Date | 07/25/2014 |
Last Update Date | 07/25/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518375211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019025896 (Illinois) | Primary |
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Smiles Forever, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 E Lake St, Bartlett, IL 60103 Phone: 630-540-1177 Fax: 630-540-1243 | |
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