| Dean Lodding Smiles, Ltd | |
|
2001 Larkin Ave Ste 120 Elgin IL 60123-5808 | |
| (847) 697-1111 | |
| (847) 697-1114 |
| Full Name | Dean Lodding Smiles, Ltd |
|---|---|
| Speciality | Dentist |
| Location | 2001 Larkin Ave Ste 120, Elgin, Illinois |
| Authorized Official Name and Position | Dean W Lodding (OWNER) |
| Authorized Official Contact | 8476971111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dean Lodding Smiles, Ltd 2001 Larkin Avenue, Suite 120 Elgin IL 60123 Ph: (847) 697-1111 | Dean Lodding Smiles, Ltd 2001 Larkin Ave Ste 120 Elgin IL 60123-5808 Ph: (847) 697-1111 |
| NPI Number | 1841628310 |
|---|---|
| Provider Enumeration Date | 10/21/2013 |
| Last Update Date | 10/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841628310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019017360 (Illinois) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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