| Illinois Dental Providers (glen Ellyn), Ltd | |
|
701 Roosevelt Rd Glen Ellyn IL 60137-5805 | |
| (630) 790-8430 | |
| (216) 584-1056 |
| Full Name | Illinois Dental Providers (glen Ellyn), Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 701 Roosevelt Rd, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Rachel Nittinger (MANAGER CREDENTIALING) |
| Authorized Official Contact | 9727550816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illinois Dental Providers (glen Ellyn), Ltd 7160 Dallas Pkwy Ste 400 Plano TX 75024-7111 Ph: () - | Illinois Dental Providers (glen Ellyn), Ltd 701 Roosevelt Rd Glen Ellyn IL 60137-5805 Ph: (630) 790-8430 |
| NPI Number | 1306217252 |
|---|---|
| Provider Enumeration Date | 10/16/2015 |
| Last Update Date | 03/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306217252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Lance Lambert D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd, Suite #105, Glen Ellyn, IL 60137 Phone: 630-858-8755 Fax: 630-858-6204 | |
Concord Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 498 Hillside Ave Ste 1e, Glen Ellyn, IL 60137 Phone: 630-942-8110 Fax: 630-942-8272 | |
Wardell Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd, Suite 220, Glen Ellyn, IL 60137 Phone: 630-469-6200 Fax: 630-469-6203 | |
Robert F. Brandys Dds, Msd, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd, Suite 225, Glen Ellyn, IL 60137 Phone: 630-469-1500 Fax: 630-469-8533 | |
Park Blvd Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd, Ste 190, Glen Ellyn, IL 60137 Phone: 630-469-0800 Fax: 630-474-0597 | |
Paul Doodes Dds Phd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd Ste 190, Glen Ellyn, IL 60137 Phone: 630-469-0800 Fax: 630-474-0597 | |
Loree Schweiger Nicholas Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 386 Pennsylvania Ave, #1n, Glen Ellyn, IL 60137 Phone: 630-858-2198 |