| Hanson & Sevandal Dentistry, Llc | |
|
2570 Foxfield Rd Ste 203 St Charles IL 60174-1406 | |
| (630) 587-4444 | |
| (630) 587-5811 |
| Full Name | Hanson & Sevandal Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2570 Foxfield Rd Ste 203, St Charles, Illinois |
| Authorized Official Name and Position | Maureen Sevandal (MEMBER) |
| Authorized Official Contact | 3124936102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanson & Sevandal Dentistry, Llc 2570 Foxfield Rd Ste 203 St Charles IL 60174-1406 Ph: (630) 587-4444 | Hanson & Sevandal Dentistry, Llc 2570 Foxfield Rd Ste 203 St Charles IL 60174-1406 Ph: (630) 587-4444 |
| NPI Number | 1366861296 |
|---|---|
| Provider Enumeration Date | 04/08/2014 |
| Last Update Date | 04/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366861296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 019.026706 (Illinois) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 019026649 (Illinois) | Secondary |
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