| Essential Dental,p.c. | |
|
255 E 103rd St Chicago IL 60628-2807 | |
| (773) 468-4554 | |
| (773) 468-4848 |
| Full Name | Essential Dental,p.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 255 E 103rd St, Chicago, Illinois |
| Authorized Official Name and Position | Ophelia Kay Carlton (DENTIST) |
| Authorized Official Contact | 7734684554 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Dental,p.c. 255 E 103rd St Chicago IL 60628-2807 Ph: (773) 468-4554 | Essential Dental,p.c. 255 E 103rd St Chicago IL 60628-2807 Ph: (773) 468-4554 |
| NPI Number | 1992880140 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992880140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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