| Glenn J Evans Family Dental | |
|
1749 S Naperville Rd Ste 102 Wheaton IL 60189-5892 | |
| (630) 260-1280 | |
| (630) 260-1233 |
| Full Name | Glenn J Evans Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 1749 S Naperville Rd Ste 102, Wheaton, Illinois |
| Authorized Official Name and Position | Glenn Evans (PRESIDENT) |
| Authorized Official Contact | 6303628674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn J Evans Family Dental 703 Parkway Dr Wheaton IL 60187-3646 Ph: (630) 362-8674 | Glenn J Evans Family Dental 1749 S Naperville Rd Ste 102 Wheaton IL 60189-5892 Ph: (630) 260-1280 |
| NPI Number | 1295481133 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 03/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295481133 | NPI | - | NPPES |
| 1538142492 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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