Premier Dental Center | |
309 W Ogden Ave Naperville IL 60563-3000 | |
(630) 355-3339 | |
Not Available |
Full Name | Premier Dental Center |
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Speciality | Dentist - General Practice |
Location | 309 W Ogden Ave, Naperville, Illinois |
Authorized Official Name and Position | Cassandra Petersen (CREDENTIALING TEAM LEAD) |
Authorized Official Contact | 2175408972 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Premier Dental Center 309 W Ogden Ave Naperville IL 60563-3000 Ph: (630) 355-3339 | Premier Dental Center 309 W Ogden Ave Naperville IL 60563-3000 Ph: (630) 355-3339 |
NPI Number | 1003316035 |
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Provider Enumeration Date | 02/16/2018 |
Last Update Date | 02/16/2018 |
Identifier | Type | State | Issuer |
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1003316035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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