| Great Smile Addison | |
|
1001 W Lake St Addison IL 60101-2094 | |
| (630) 543-2300 | |
| (630) 543-7930 |
| Full Name | Great Smile Addison |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1001 W Lake St, Addison, Illinois |
| Authorized Official Name and Position | Ali Tekdogan (OWNER) |
| Authorized Official Contact | 8479451050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Smile Addison 720 Osterman Ave Ste 304 Deerfield IL 60015-4339 Ph: (847) 945-1050 | Great Smile Addison 1001 W Lake St Addison IL 60101-2094 Ph: (630) 543-2300 |
| NPI Number | 1740708015 |
|---|---|
| Provider Enumeration Date | 09/06/2017 |
| Last Update Date | 09/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740708015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019025188 (Illinois) | Primary |
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