| Manus Dental Fox Lake | |
|
1394 S Us Highway 12 Fox Lake IL 60020-1949 | |
| (847) 587-5053 | |
| Not Available |
| Full Name | Manus Dental Fox Lake |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1394 S Us Highway 12, Fox Lake, Illinois |
| Authorized Official Name and Position | Daniel A Dohnalek (OWNER) |
| Authorized Official Contact | 8475875053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manus Dental Fox Lake 1394 S Us Highway 12 Fox Lake IL 60020-1949 Ph: (847) 587-5053 | Manus Dental Fox Lake 1394 S Us Highway 12 Fox Lake IL 60020-1949 Ph: (847) 587-5053 |
| NPI Number | 1225144637 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225144637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019018679 (Illinois) | Primary |
Thomas L. Prendergast, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1394 S Route 12, Fox Lake, IL 60020 Phone: 847-587-5053 | |
Fox Lake Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1402 S Us Highway 12, Fox Lake, IL 60020 Phone: 217-540-5100 | |
Cd&l Dental Associates, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 S Us Highway 12, Fox Lake, IL 60020 Phone: 847-587-6600 Fax: 847-587-6618 |