| Periodontics & Implants, Ltd. | |
|
636 Church St Suite 707 Evanston IL 60201-4508 | |
| (847) 491-1880 | |
| Not Available |
| Full Name | Periodontics & Implants, Ltd. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 636 Church St, Evanston, Illinois |
| Authorized Official Name and Position | Richard C Prendergast (PRESIDENT/PERIODONTIST) |
| Authorized Official Contact | 8474911880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Periodontics & Implants, Ltd. 636 Church St Suite 707 Evanston IL 60201-4508 Ph: (847) 491-1880 | Periodontics & Implants, Ltd. 636 Church St Suite 707 Evanston IL 60201-4508 Ph: (847) 491-1880 |
| NPI Number | 1962653600 |
|---|---|
| Provider Enumeration Date | 09/30/2008 |
| Last Update Date | 09/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962653600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 021000596 (Illinois) | Primary |
Richard S Hopf D.d.s. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Davis Street, Suite 504, Evanston, IL 60201 Phone: 847-475-4270 Fax: 847-864-4594 | |
Bk Dental-evanston Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 636 Church St Ste 304, Evanston, IL 60201 Phone: 312-343-0415 Fax: 630-766-2537 | |
Town Centre Dental Group, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 636 Church St, Suite 309, Evanston, IL 60201 Phone: 847-328-1180 Fax: 847-328-1189 | |
Lamarr Lemee Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 708 Church St, Suite 208, Evanston, IL 60201 Phone: 847-866-6630 Fax: 847-866-8605 | |
Akers, Stohle & Borden Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Davis St, 509, Evanston, IL 60201 Phone: 847-869-9303 Fax: 847-869-9323 | |
Preferred Dentistry Associates,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1029 Howard St, #203, Evanston, IL 60202 Phone: 847-491-0660 | |
Preferred Dentistry Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1029 Howard Street, Evanston, IL 60202 Phone: 847-869-1029 |