| Grand Dental Care, Ltd | |
|
1800 Grand Ave Waukegan IL 60085-3582 | |
| (847) 336-4180 | |
| (847) 336-4190 |
| Full Name | Grand Dental Care, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1800 Grand Ave, Waukegan, Illinois |
| Authorized Official Name and Position | Jae Myung Shim (PRESIDENT) |
| Authorized Official Contact | 8473364180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Dental Care, Ltd 1800 Grand Ave Waukegan IL 60085-3582 Ph: (847) 336-4180 | Grand Dental Care, Ltd 1800 Grand Ave Waukegan IL 60085-3582 Ph: (847) 336-4180 |
| NPI Number | 1366574923 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366574923 | NPI | - | NPPES |
| 102511 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
Douglas Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2605a Grand Ave, Waukegan, IL 60085 Phone: 847-244-7779 | |
Waukegan Family Family Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 S. Greenbay Rd., Waukegan, IL 60085 Phone: 847-336-7800 | |
Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2841 Grand Ave, Waukegan, IL 60085 Phone: 847-360-1610 Fax: 847-360-1689 | |
Glen Flora Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 W Glen Flora Ave, Waukegan, IL 60085 Phone: 847-623-0399 Fax: 847-623-4745 | |
Orthodontic Experts Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2410 Washington St, Waukegan, IL 60085 Phone: 847-999-3701 | |
Align Dental Group Pc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2605 Grand Ave Ste A, Waukegan, IL 60085 Phone: 847-244-7779 Fax: 847-244-7778 | |
Alsahlani And Albazzaz Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1320 Golf Road, Waukegan, IL 60087 Phone: 847-336-2800 Fax: 847-662-0163 |