| New Age Dental | |
|
8930 Waukegan Rd Suite 110 Morton Grove IL 60053-2126 | |
| (847) 967-0400 | |
| Not Available |
| Full Name | New Age Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8930 Waukegan Rd, Morton Grove, Illinois |
| Authorized Official Name and Position | Glenn Shulkin (PRESIDENT) |
| Authorized Official Contact | 8473010400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Age Dental 1061 S Roselle Rd Schaumburg IL 60193-3960 Ph: (847) 301-0400 | New Age Dental 8930 Waukegan Rd Suite 110 Morton Grove IL 60053-2126 Ph: (847) 967-0400 |
| NPI Number | 1144762709 |
|---|---|
| Provider Enumeration Date | 11/14/2016 |
| Last Update Date | 11/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144762709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019021632 (Illinois) | Primary |
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