| Plainfield Dental Practice Inc | |
|
15210 S Route 59 Plainfield IL 60544-2682 | |
| (815) 436-3399 | |
| Not Available |
| Full Name | Plainfield Dental Practice Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15210 S Route 59, Plainfield, Illinois |
| Authorized Official Name and Position | William Thomas Peck (OWNER/DENTIST) |
| Authorized Official Contact | 6307793320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plainfield Dental Practice Inc 15210 S Route 59 Plainfield IL 60544-2682 Ph: (815) 436-3399 | Plainfield Dental Practice Inc 15210 S Route 59 Plainfield IL 60544-2682 Ph: (815) 436-3399 |
| NPI Number | 1619680311 |
|---|---|
| Provider Enumeration Date | 12/28/2022 |
| Last Update Date | 12/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619680311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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