| North Shore Dentistry For Children | |
|
1560 Sherman Ave Suite 610 Evanston IL 60201-4818 | |
| (847) 869-5417 | |
| Not Available |
| Full Name | North Shore Dentistry For Children |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1560 Sherman Ave, Evanston, Illinois |
| Authorized Official Name and Position | Tracy Carlson Hall (OFFICE MANAGER) |
| Authorized Official Contact | 8478695417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Dentistry For Children 1560 Sherman Ave Suite 610 Evanston IL 60201-4818 Ph: (847) 869-5417 | North Shore Dentistry For Children 1560 Sherman Ave Suite 610 Evanston IL 60201-4818 Ph: (847) 869-5417 |
| NPI Number | 1396875662 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396875662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Illinois) | Primary |
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