| Berkeley Dental Clinic | |
|
5646 Saint Charles Rd Suite C Berkeley IL 60163-1148 | |
| (708) 544-7474 | |
| Not Available |
| Full Name | Berkeley Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5646 Saint Charles Rd, Berkeley, Illinois |
| Authorized Official Name and Position | Gary Robert Johnson (PRESIDENT) |
| Authorized Official Contact | 7085447474 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkeley Dental Clinic 5646 Saint Charles Rd Suite C Berkeley IL 60163-1148 Ph: (708) 544-7474 | Berkeley Dental Clinic 5646 Saint Charles Rd Suite C Berkeley IL 60163-1148 Ph: (708) 544-7474 |
| NPI Number | 1366466930 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 10/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366466930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Michael A. Esposito Dds, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163 Phone: 708-544-9773 | |
Berkeley Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1752 N Taft Ave, Berkeley, IL 60163 Phone: 773-308-3787 | |
Payam Zarei Dds-berkeley Dental Care Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1752 N Taft Ave, Berkeley, IL 60163 Phone: 708-449-8683 Fax: 708-449-8806 |