| Maple Shade Dental (dunlap) Llc | |
|
11825 State Route 40 Suite 200 Dunlap IL 61525-8842 | |
| (309) 243-7702 | |
| (309) 243-9061 |
| Full Name | Maple Shade Dental (dunlap) Llc |
|---|---|
| Speciality | Dentist |
| Location | 11825 State Route 40, Dunlap, Illinois |
| Authorized Official Name and Position | Mike Cole (INSURANCE DIRECTOR) |
| Authorized Official Contact | 7277261611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Shade Dental (dunlap) Llc 6240 Lake Osprey Dr Dept 56058 Lakewood Ranch FL 34240-8421 Ph: () - | Maple Shade Dental (dunlap) Llc 11825 State Route 40 Suite 200 Dunlap IL 61525-8842 Ph: (309) 243-7702 |
| NPI Number | 1134416795 |
|---|---|
| Provider Enumeration Date | 07/05/2011 |
| Last Update Date | 03/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134416795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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Maple Shade Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11825 N Knoxville Ave, Dunlap, IL 61525 Phone: 309-243-7702 Fax: 309-243-9559 | |
Illinois Institute Of Dental Sleep Medicine Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11825 State Route 40 Ste 100, Dunlap, IL 61525 Phone: 309-243-8980 | |
Illinois Institute Of Dental Sleep Medicine Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 11825 State Route 40, Dunlap, IL 61525 Phone: 309-243-9239 |