| Oswego Dental Care | |
|
21 W. Jefferson St. Oswego IL 60543-9002 | |
| (630) 554-9100 | |
| (630) 554-1809 |
| Full Name | Oswego Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21 W. Jefferson St., Oswego, Illinois |
| Authorized Official Name and Position | Robert Frank Otto (PRESIDENT) |
| Authorized Official Contact | 6305549100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oswego Dental Care 21 W. Jefferson St. Oswego IL 60543-9002 Ph: (630) 554-9100 | Oswego Dental Care 21 W. Jefferson St. Oswego IL 60543-9002 Ph: (630) 554-9100 |
| NPI Number | 1114091790 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114091790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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