| Prose Orthodontics | |
|
2055 Foxfield Rd St Charles IL 60174-1442 | |
| (630) 584-6555 | |
| Not Available |
| Full Name | Prose Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2055 Foxfield Rd, St Charles, 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 |
|---|---|
| Prose Orthodontics 2055 Foxfield Rd St Charles IL 60174-1442 Ph: (630) 584-6555 | Prose Orthodontics 2055 Foxfield Rd St Charles IL 60174-1442 Ph: (630) 584-6555 |
| NPI Number | 1811778715 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 12/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811778715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Robert W Overdorf Dds, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 S 2nd Ave, Suite 11, St Charles, IL 60174 Phone: 630-377-1200 | |
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