| Dba Premier Endodontic Associates | |
|
1749 S Naperville Road Suite 100 Wheaton IL 60189 | |
| (630) 653-3636 | |
| (630) 653-3663 |
| Full Name | Dba Premier Endodontic Associates |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1749 S Naperville Road, Wheaton, Illinois |
| Authorized Official Name and Position | Brian Wardell (MANAGER) |
| Authorized Official Contact | 6306553636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Premier Endodontic Associates 1749 S Naperville Road Suite 100 Wheaton IL 60189 Ph: (630) 653-3636 | Dba Premier Endodontic Associates 1749 S Naperville Road Suite 100 Wheaton IL 60189 Ph: (630) 653-3636 |
| NPI Number | 1821491937 |
|---|---|
| Provider Enumeration Date | 10/02/2014 |
| Last Update Date | 10/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821491937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 021002266 (Illinois) | Primary |
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