| Dental Care Of South Elgin | |
|
342 Randall Rd South Elgin IL 60177-2261 | |
| (847) 531-4246 | |
| Not Available |
| Full Name | Dental Care Of South Elgin |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 342 Randall Rd, South Elgin, Illinois |
| Authorized Official Name and Position | Lindsay Bearden (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care Of South Elgin 342 Randall Rd South Elgin IL 60177-2261 Ph: (847) 531-4246 | Dental Care Of South Elgin 342 Randall Rd South Elgin IL 60177-2261 Ph: (847) 531-4246 |
| NPI Number | 1770994915 |
|---|---|
| Provider Enumeration Date | 05/09/2014 |
| Last Update Date | 05/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770994915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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