| Island Lake Dental Llc | |
|
510 Auburn Dr Ste D Island Lake IL 60042-9105 | |
| (630) 765-1762 | |
| Not Available |
| Full Name | Island Lake Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 510 Auburn Dr Ste D, Island Lake, Illinois |
| Authorized Official Name and Position | Nikhar Shah (PRESIDENT) |
| Authorized Official Contact | 6307651762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Lake Dental Llc 232 Stonington Dr Bloomingdale IL 60108-7810 Ph: (630) 765-1762 | Island Lake Dental Llc 510 Auburn Dr Ste D Island Lake IL 60042-9105 Ph: (630) 765-1762 |
| NPI Number | 1376304626 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 01/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376304626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Lakeland Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E State Rd, Island Lake, IL 60042 Phone: 630-222-0618 | |
Gentle Dental Of Island Lake Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 638 E State Rd, Island Lake, IL 60042 Phone: 847-487-1166 Fax: 847-487-8431 |