| Oswego Commons Family Dental | |
|
1490 Douglas Rd Oswego IL 60543-5106 | |
| (331) 725-7669 | |
| Not Available |
| Full Name | Oswego Commons Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1490 Douglas Rd, Oswego, Illinois |
| Authorized Official Name and Position | Lindsayl Bearden (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oswego Commons Family Dental 1490 Douglas Rd Oswego IL 60543-5106 Ph: (331) 725-7669 | Oswego Commons Family Dental 1490 Douglas Rd Oswego IL 60543-5106 Ph: (331) 725-7669 |
| NPI Number | 1346651577 |
|---|---|
| Provider Enumeration Date | 05/09/2014 |
| Last Update Date | 05/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346651577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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