| Niles Family Dental | |
|
7900 N Milwaukee Ave Suite 2-30a Niles IL 60714-3159 | |
| (847) 965-4300 | |
| (866) 830-0746 |
| Full Name | Niles Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 7900 N Milwaukee Ave, Niles, Illinois |
| Authorized Official Name and Position | Paul Theodore Anast (OWNER/DENTAL) |
| Authorized Official Contact | 8479654300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Niles Family Dental 7900 N Milwaukee Ave Suite 2-30a Niles IL 60714-3159 Ph: (847) 965-4300 | Niles Family Dental 7900 N Milwaukee Ave Suite 2-30a Niles IL 60714-3159 Ph: (847) 965-4300 |
| NPI Number | 1285016709 |
|---|---|
| Provider Enumeration Date | 06/20/2015 |
| Last Update Date | 06/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285016709 | NPI | - | NPPES |
| 1700031127 | Other | IL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019027804 (Illinois) | Primary |
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