| Fox Valley Dental Care, Llc | |
|
74 N Alfred Ave Elgin IL 60123-5262 | |
| (847) 695-1300 | |
| (847) 695-8133 |
| Full Name | Fox Valley Dental Care, Llc |
|---|---|
| Speciality | Dentist |
| Location | 74 N Alfred Ave, Elgin, Illinois |
| Authorized Official Name and Position | Thomas R Pointner (OWNER) |
| Authorized Official Contact | 8476951300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fox Valley Dental Care, Llc 74 N Alfred Ave Elgin IL 60123-5262 Ph: (847) 695-1300 | Fox Valley Dental Care, Llc 74 N Alfred Ave Elgin IL 60123-5262 Ph: (847) 695-1300 |
| NPI Number | 1114395316 |
|---|---|
| Provider Enumeration Date | 09/04/2015 |
| Last Update Date | 09/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114395316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019022965 (Illinois) | Primary |
| 122300000X | Dentist | 019029509 (Illinois) | Secondary |
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