| Happy Tooth | |
|
130 N Addison Ave Elmhurst IL 60126 | |
| (630) 834-4140 | |
| Not Available |
| Full Name | Happy Tooth |
|---|---|
| Speciality | Dentist |
| Location | 130 N Addison Ave, Elmhurst, Illinois |
| Authorized Official Name and Position | Maggie W Augustyn (DENTIST/PRESIDENT) |
| Authorized Official Contact | 6308344140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Happy Tooth 130 Addison Ave Elmhurst IL 60126 Ph: (630) 834-4141 | Happy Tooth 130 N Addison Ave Elmhurst IL 60126 Ph: (630) 834-4140 |
| NPI Number | 1427222520 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427222520 | NPI | - | NPPES |
| 9185625 | Medicaid | IL | |
| 9815623 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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