| Shine Pediatric Dentistry | |
|
950 Ogden Ave Downers Grove IL 60515-2810 | |
| (630) 743-6700 | |
| Not Available |
| Full Name | Shine Pediatric Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 950 Ogden Ave, Downers Grove, Illinois |
| Authorized Official Name and Position | Lynse Briney (PRESIDENT) |
| Authorized Official Contact | 7735030370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Pediatric Dentistry 4439 N Albany Ave Chicago IL 60625-4501 Ph: (773) 503-0370 | Shine Pediatric Dentistry 950 Ogden Ave Downers Grove IL 60515-2810 Ph: (630) 743-6700 |
| NPI Number | 1104090307 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 10/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104090307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019026699 (Illinois) | Primary |
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