| Gateway Dental Centre, P.c. | |
|
534 Main St West Chicago IL 60185-2843 | |
| (630) 876-9200 | |
| (630) 876-9201 |
| Full Name | Gateway Dental Centre, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 534 Main St, West Chicago, Illinois |
| Authorized Official Name and Position | Dena Spencer (PRESIDENT / DENTIST) |
| Authorized Official Contact | 6308769200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gateway Dental Centre, P.c. 534 Main St West Chicago IL 60185-2843 Ph: (630) 876-9200 | Gateway Dental Centre, P.c. 534 Main St West Chicago IL 60185-2843 Ph: (630) 876-9200 |
| NPI Number | 1730288242 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 02/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730288242 | NPI | - | NPPES |
| 9176645 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Illinois) | Primary |
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