| Burlington Dental | |
|
255 S. Main St Burlington IL 60109 | |
| (847) 683-9812 | |
| (847) 683-9801 |
| Full Name | Burlington Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 255 S. Main St, Burlington, Illinois |
| Authorized Official Name and Position | John Robert Biancalana (OWNER/DENTIST/PRESIDENT) |
| Authorized Official Contact | 8476839812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burlington Dental Po Box 400 Burlington IL 60109-0400 Ph: (847) 683-9812 | Burlington Dental 255 S. Main St Burlington IL 60109 Ph: (847) 683-9812 |
| NPI Number | 1568636702 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568636702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Illinois) | Primary |
Shady Oak Dental Llc - Burlington Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 S Main St, Burlington, IL 60109 Phone: 847-683-9812 |