| Oral Healthcare Professionals | |
|
2033 Ogden Ave Downers Grove IL 60515-2601 | |
| (630) 963-6750 | |
| (630) 963-6761 |
| Full Name | Oral Healthcare Professionals |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2033 Ogden Ave, Downers Grove, Illinois |
| Authorized Official Name and Position | Eric G. Jackson (OWNER) |
| Authorized Official Contact | 6309636750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Healthcare Professionals 2033 Ogden Ave Downers Grove IL 60515-2601 Ph: (630) 963-6750 | Oral Healthcare Professionals 2033 Ogden Ave Downers Grove IL 60515-2601 Ph: (630) 963-6750 |
| NPI Number | 1134437262 |
|---|---|
| Provider Enumeration Date | 09/23/2010 |
| Last Update Date | 09/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134437262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019026703 (Illinois) | Primary |
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