| Glen Ellyn Orthodontic Associates, P.c. | |
|
507 Duane St Glen Ellyn IL 60137-4549 | |
| (630) 469-5225 | |
| (630) 469-5443 |
| Full Name | Glen Ellyn Orthodontic Associates, P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 507 Duane St, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Douglas Robert Prince (OWNER) |
| Authorized Official Contact | 6304695225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Ellyn Orthodontic Associates, P.c. 507 Duane St Glen Ellyn IL 60137-4549 Ph: (630) 469-5225 | Glen Ellyn Orthodontic Associates, P.c. 507 Duane St Glen Ellyn IL 60137-4549 Ph: (630) 469-5225 |
| NPI Number | 1811107998 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 01/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811107998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 019-014235 (Illinois) | Primary |
Lance Lambert D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd, Suite #105, Glen Ellyn, IL 60137 Phone: 630-858-8755 Fax: 630-858-6204 | |
Concord Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 498 Hillside Ave Ste 1e, Glen Ellyn, IL 60137 Phone: 630-942-8110 Fax: 630-942-8272 | |
Wardell Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd, Suite 220, Glen Ellyn, IL 60137 Phone: 630-469-6200 Fax: 630-469-6203 | |
Robert F. Brandys Dds, Msd, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd, Suite 225, Glen Ellyn, IL 60137 Phone: 630-469-1500 Fax: 630-469-8533 | |
Park Blvd Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd, Ste 190, Glen Ellyn, IL 60137 Phone: 630-469-0800 Fax: 630-474-0597 | |
Paul Doodes Dds Phd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd Ste 190, Glen Ellyn, IL 60137 Phone: 630-469-0800 Fax: 630-474-0597 | |
Loree Schweiger Nicholas Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 386 Pennsylvania Ave, #1n, Glen Ellyn, IL 60137 Phone: 630-858-2198 |