| Lincoln Way Family Dental, P.c. | |
|
11238 Lincoln Hwy Mokena IL 60448-8208 | |
| (815) 469-4009 | |
| Not Available |
| Full Name | Lincoln Way Family Dental, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 11238 Lincoln Hwy, Mokena, Illinois |
| Authorized Official Name and Position | Robert Davis (OWNER/DENTIST) |
| Authorized Official Contact | 8154694009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Way Family Dental, P.c. 11238 Lincoln Hwy Mokena IL 60448-8208 Ph: (815) 469-4009 | Lincoln Way Family Dental, P.c. 11238 Lincoln Hwy Mokena IL 60448-8208 Ph: (815) 469-4009 |
| NPI Number | 1588948129 |
|---|---|
| Provider Enumeration Date | 09/30/2011 |
| Last Update Date | 09/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588948129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019-026473 (Illinois) | Primary |
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