| Lockport Dental Group, Ltd | |
|
230 E 8th St Ste 5 Lockport IL 60441-3081 | |
| (815) 838-6102 | |
| (815) 838-6281 |
| Full Name | Lockport Dental Group, Ltd |
|---|---|
| Speciality | Dentist |
| Location | 230 E 8th St, Lockport, Illinois |
| Authorized Official Name and Position | Dennis L Sluski (PRESIDENT) |
| Authorized Official Contact | 8158386102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lockport Dental Group, Ltd 230 E 8th St Ste 5 Lockport IL 60441-3081 Ph: (815) 838-6102 | Lockport Dental Group, Ltd 230 E 8th St Ste 5 Lockport IL 60441-3081 Ph: (815) 838-6102 |
| NPI Number | 1568467702 |
|---|---|
| Provider Enumeration Date | 06/15/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568467702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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Tammy Giannetta Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16121 S Farrell Rd, Lockport, IL 60441 Phone: 815-524-5053 Fax: 815-552-2064 | |
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