| Lemont Family Dental Ltd | |
|
160-b East Wend St Lemont IL 60439 | |
| (630) 257-8669 | |
| (630) 257-9255 |
| Full Name | Lemont Family Dental Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 160-b East Wend St, Lemont, Illinois |
| Authorized Official Name and Position | Jennifer L Splitt Krull (OWNER PRESIDENT) |
| Authorized Official Contact | 6302578669 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lemont Family Dental Ltd 160-b East Wend St Lemont IL 60439 Ph: (630) 257-8669 | Lemont Family Dental Ltd 160-b East Wend St Lemont IL 60439 Ph: (630) 257-8669 |
| NPI Number | 1336210210 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336210210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | BS2716162 (Illinois) | Primary |
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