| North Shore Oral Surgery And Dental Implant Center | |
|
720 Osterman Ave Suite 102 Deerfield IL 60015-4471 | |
| (847) 945-6700 | |
| (847) 945-6707 |
| Full Name | North Shore Oral Surgery And Dental Implant Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 720 Osterman Ave, Deerfield, Illinois |
| Authorized Official Name and Position | Benjamin Logiudice (OWNER, PRESIDENT) |
| Authorized Official Contact | 8479456700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Oral Surgery And Dental Implant Center 720 Osterman Ave Suite 102 Deerfield IL 60015-4471 Ph: (847) 945-6700 | North Shore Oral Surgery And Dental Implant Center 720 Osterman Ave Suite 102 Deerfield IL 60015-4471 Ph: (847) 945-6700 |
| NPI Number | 1083928964 |
|---|---|
| Provider Enumeration Date | 08/03/2010 |
| Last Update Date | 08/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083928964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 019025769 (Illinois) | Primary |
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Great Smile Dentistry Deerfield Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 720 Osterman Ave, Suite 304, Deerfield, IL 60015 Phone: 847-945-1050 Fax: 847-940-0433 | |
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