Old Town Dental Associates | |
526 Dixie Hwy Beecher IL 60401-3698 | |
(708) 946-9494 | |
Not Available |
Full Name | Old Town Dental Associates |
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Speciality | Dentist - General Practice |
Location | 526 Dixie Hwy, Beecher, Illinois |
Authorized Official Name and Position | Zaid Pardesi (MANAGING DIRECTOR) |
Authorized Official Contact | 8473128721 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Old Town Dental Associates 1250 S Michigan Ave Apt 2505 Chicago IL 60605-2548 Ph: (847) 312-8721 | Old Town Dental Associates 526 Dixie Hwy Beecher IL 60401-3698 Ph: (708) 946-9494 |
NPI Number | 1740739135 |
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Provider Enumeration Date | 09/26/2016 |
Last Update Date | 09/26/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740739135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019.030152 (Illinois) | Primary |
Tru Dental Illinois, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 526 Dixie Hwy, Beecher, IL 60401 Phone: 708-946-9494 Fax: 708-946-9494 | |
Beecher Dental Group, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 S Dixie Hwy, Beecher, IL 60401 Phone: 708-946-3777 |