| Park Ridge Dentistry Pllc | |
|
35 1/2 S Prospect Ave Park Ridge IL 60068-4101 | |
| (847) 692-7350 | |
| Not Available |
| Full Name | Park Ridge Dentistry Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 35 1/2 S Prospect Ave, Park Ridge, Illinois |
| Authorized Official Name and Position | Robert Stites (INSURANCE COORDINATOR) |
| Authorized Official Contact | 7736102903 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Ridge Dentistry Pllc 1699 E Woodfield Rd Ste 102 Schaumburg IL 60173-4955 Ph: (630) 869-5857 | Park Ridge Dentistry Pllc 35 1/2 S Prospect Ave Park Ridge IL 60068-4101 Ph: (847) 692-7350 |
| NPI Number | 1366195869 |
|---|---|
| Provider Enumeration Date | 02/03/2022 |
| Last Update Date | 02/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366195869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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