| Premier Orthodontics | |
|
1704 Polaris Cir Ottawa IL 61350-1773 | |
| (815) 434-4222 | |
| Not Available |
| Full Name | Premier Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1704 Polaris Cir, Ottawa, Illinois |
| Authorized Official Name and Position | Casey Lonabocker (VICE PRESIDENT OPERATIONS) |
| Authorized Official Contact | 6176657241 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Orthodontics 131 Dartmouth St Fl 3 Boston MA 02116-5297 Ph: (617) 535-3305 | Premier Orthodontics 1704 Polaris Cir Ottawa IL 61350-1773 Ph: (815) 434-4222 |
| NPI Number | 1194454454 |
|---|---|
| Provider Enumeration Date | 06/09/2022 |
| Last Update Date | 12/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194454454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
John M Conness Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1704 Polaris Cir, Suite 1, Ottawa, IL 61350 Phone: 815-434-1022 Fax: 815-434-1047 | |
Mark Benavides D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1703 Polaris Cir, Ottawa, IL 61350 Phone: 815-434-0152 | |
Ottawa Children's Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1704 Polaris Cir, Ottawa, IL 61350 Phone: 815-434-6447 Fax: 815-434-2828 | |
John C Harbeck Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1210 W Madison St, Ottawa, IL 61350 Phone: 815-433-1242 Fax: 815-433-6931 | |
Richard A Ewald And William L Wrobel Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1704 Polaris Cir, Ottawa, IL 61350 Phone: 815-434-6447 | |
Robert W. Schmidt, D.d.s., F.a.g.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 333 E Norris Dr, Ottawa, IL 61350 Phone: 815-434-1688 Fax: 815-434-1690 |