| Prairie Valley Dental, P.c. | |
|
108 Valley Dr Unit H Elburn IL 60119-8872 | |
| (630) 365-1675 | |
| (630) 365-1678 |
| Full Name | Prairie Valley Dental, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 108 Valley Dr Unit H, Elburn, Illinois |
| Authorized Official Name and Position | Kevin Michael Enberg (PRESIDENT) |
| Authorized Official Contact | 6303651675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Valley Dental, P.c. 108 Valley Dr Unit H Elburn IL 60119-8872 Ph: (630) 365-1675 | Prairie Valley Dental, P.c. 108 Valley Dr Unit H Elburn IL 60119-8872 Ph: (630) 365-1675 |
| NPI Number | 1346433000 |
|---|---|
| Provider Enumeration Date | 08/24/2007 |
| Last Update Date | 08/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346433000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Illinois) | Primary |
Robert B Davidson Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 708 N Main St, Elburn, IL 60119 Phone: 630-365-6127 Fax: 630-365-6128 | |
Michael Schuiling Dds Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 708 N Main St, Elburn, IL 60119 Phone: 630-365-6127 | |
Dr. Tom Dentistry Elburn, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Main St, Elburn, IL 60119 Phone: 630-365-9421 Fax: 630-365-1024 |