| Lincoln Crossing Family Dental | |
|
647 W Lincoln Hwy Suite B Chicago Heights IL 60411-2374 | |
| (708) 996-1111 | |
| Not Available |
| Full Name | Lincoln Crossing Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 647 W Lincoln Hwy, Chicago Heights, Illinois |
| Authorized Official Name and Position | Treneice Mangram (PRESIDENT/DENTIST) |
| Authorized Official Contact | 7087994203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Crossing Family Dental 1321 Rosewood Ct Flossmoor IL 60422-1471 Ph: (708) 799-4203 | Lincoln Crossing Family Dental 647 W Lincoln Hwy Suite B Chicago Heights IL 60411-2374 Ph: (708) 996-1111 |
| NPI Number | 1659779569 |
|---|---|
| Provider Enumeration Date | 12/09/2014 |
| Last Update Date | 12/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659779569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019026308 (Illinois) | Primary |
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