|
| |
|
647 W Lincoln Hwy Suite B Chicago Heights IL 60411-2374 | |
| (708) 996-1111 | |
| Not Available |
| Full Name | |
|---|---|
| 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 |
|---|---|
1321 Rosewood Ct Flossmoor IL 60422-1471 Ph: (708) 799-4203 | 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 |
The Smile Center Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 Dixie Hwy, Chicago Heights, IL 60411 Phone: 708-808-4950 | |
Oral Surgery Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19838 S Halsted St, Chicago Heights, IL 60411 Phone: 708-755-0800 Fax: 708-755-0805 | |
Sparkling Smiles Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Chicago Rd, Chicago Heights, IL 60411 Phone: 708-755-2400 | |
Dental Experts, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 567 West 14th St., Unit D, Chicago Heights, IL 60411 Phone: 708-283-9800 |