| Complete Health Dentistry Of Park Ridge | |
|
101 S Washington Ave Suite 135 Park Ridge IL 60068-4200 | |
| (847) 696-3240 | |
| Not Available |
| Full Name | Complete Health Dentistry Of Park Ridge |
|---|---|
| Speciality | Dentist |
| Location | 101 S Washington Ave, Park Ridge, Illinois |
| Authorized Official Name and Position | Mark Steven Kuchta (PRESIDENT) |
| Authorized Official Contact | 8476963240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Health Dentistry Of Park Ridge 101 S Washington St Suite 135 Park Ridge IL 60068-4200 Ph: (847) 696-3240 | Complete Health Dentistry Of Park Ridge 101 S Washington Ave Suite 135 Park Ridge IL 60068-4200 Ph: (847) 696-3240 |
| NPI Number | 1932319423 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/04/2023 |
| Medicare PECOS PAC ID | 0547237372 |
|---|---|
| Medicare Enrollment ID | O20231208000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932319423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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