| Prairie Dental Ltd. | |
|
23959 W Renwick Rd Plainfield IL 60544-2108 | |
| (815) 439-8500 | |
| (815) 439-9214 |
| Full Name | Prairie Dental Ltd. |
|---|---|
| Speciality | Dentist |
| Location | 23959 W Renwick Rd, Plainfield, Illinois |
| Authorized Official Name and Position | Paul Anthony Lukawski (PRESIDENT) |
| Authorized Official Contact | 8154398500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Dental Ltd. 23959 W Renwick Rd Plainfield IL 60544-2108 Ph: (815) 439-8500 | Prairie Dental Ltd. 23959 W Renwick Rd Plainfield IL 60544-2108 Ph: (815) 439-8500 |
| NPI Number | 1447380621 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447380621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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