| Hickory Creek Family Dentistry | |
|
561 E Lincoln Hwy New Lenox IL 60451 | |
| (815) 981-9046 | |
| Not Available |
| Full Name | Hickory Creek Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 561 E Lincoln Hwy, New Lenox, Illinois |
| Authorized Official Name and Position | Lindsay Bearden (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hickory Creek Family Dentistry 561 E Lincoln Hwy New Lenox IL 60451 Ph: (815) 981-9046 | Hickory Creek Family Dentistry 561 E Lincoln Hwy New Lenox IL 60451 Ph: (815) 981-9046 |
| NPI Number | 1700278959 |
|---|---|
| Provider Enumeration Date | 02/25/2015 |
| Last Update Date | 02/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700278959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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