| Bayberry Dental Care Pc | |
|
8014 171st Street Tinley Park IL 60477 | |
| (708) 802-8300 | |
| (708) 802-8305 |
| Full Name | Bayberry Dental Care Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8014 171st Street, Tinley Park, Illinois |
| Authorized Official Name and Position | Kathleen M Falsey (DENTIST PRESIDENT A CORPORATION) |
| Authorized Official Contact | 7088028300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bayberry Dental Care Pc 8014 171st Street Tinley Park IL 60477 Ph: (708) 802-8300 | Bayberry Dental Care Pc 8014 171st Street Tinley Park IL 60477 Ph: (708) 802-8300 |
| NPI Number | 1376693457 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 09/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376693457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019023208 (Illinois) | Primary |
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