| Prairie Garden Dental | |
|
200 Garden St Suite C Yorkville IL 60560 | |
| (630) 553-6565 | |
| (630) 553-2986 |
| Full Name | Prairie Garden Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 Garden St, Yorkville, Illinois |
| Authorized Official Name and Position | Scott D Vlk (PRESIDENT) |
| Authorized Official Contact | 6305536565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Garden Dental 200 Garden St Suite C Yorkville IL 60560 Ph: (630) 553-6565 | Prairie Garden Dental 200 Garden St Suite C Yorkville IL 60560 Ph: (630) 553-6565 |
| NPI Number | 1376589424 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376589424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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