| Northshore Dental Partners, Pllc | |
|
2200 Central St Evanston IL 60201-1416 | |
| (847) 869-7710 | |
| Not Available |
| Full Name | Northshore Dental Partners, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2200 Central St, Evanston, Illinois |
| Authorized Official Name and Position | Coleen-shannon Licar (MANAGER) |
| Authorized Official Contact | 8478648151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northshore Dental Partners, Pllc 2200 Central St Evanston IL 60201-1416 Ph: (847) 869-7710 | Northshore Dental Partners, Pllc 2200 Central St Evanston IL 60201-1416 Ph: (847) 869-7710 |
| NPI Number | 1861271702 |
|---|---|
| Provider Enumeration Date | 09/28/2023 |
| Last Update Date | 09/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861271702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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