| Booth Orthodontics Llc | |
|
12635 W 143rd St Homer Glen IL 60491-8381 | |
| (708) 301-0005 | |
| Not Available |
| Full Name | Booth Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12635 W 143rd St, Homer Glen, Illinois |
| Authorized Official Name and Position | Ryan E Booth (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 7083010005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Booth Orthodontics Llc 12635 W 143rd St Homer Glen IL 60491-8381 Ph: (708) 301-0005 | Booth Orthodontics Llc 12635 W 143rd St Homer Glen IL 60491-8381 Ph: (708) 301-0005 |
| NPI Number | 1821562323 |
|---|---|
| Provider Enumeration Date | 01/17/2019 |
| Last Update Date | 01/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821562323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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Sheryl Leipold D.d.s. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 15927 S Bell Rd, Homer Glen, IL 60491 Phone: 708-645-0505 Fax: 708-301-6066 | |
Kasper,heaton,wright,pagni,andassociates,ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13161 W 143rd St, Suite 104, Homer Glen, IL 60491 Phone: 708-301-1930 Fax: 708-301-1939 | |
Barry E. Booth, D.d.s., M.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12635 W 143rd St, Homer Glen, IL 60491 Phone: 708-301-0005 Fax: 708-301-0063 |