| Main Dental Associates, Ltd. | |
|
6457 Dempster St Morton Grove IL 60053-2604 | |
| (847) 966-1700 | |
| (847) 966-1785 |
| Full Name | Main Dental Associates, Ltd. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6457 Dempster St, Morton Grove, Illinois |
| Authorized Official Name and Position | Richard A. Wilson (PRESIDENT) |
| Authorized Official Contact | 8479661700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Dental Associates, Ltd. 6457 Dempster St Morton Grove IL 60053-2604 Ph: (847) 966-1700 | Main Dental Associates, Ltd. 6457 Dempster St Morton Grove IL 60053-2604 Ph: (847) 966-1700 |
| NPI Number | 1699942722 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 05/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699942722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019-014182 (Illinois) | Primary |
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