| Pro Dental Il - Chad Wise Pc | |
|
17653 Torrence Ave Lansing IL 60438-4839 | |
| (708) 418-8999 | |
| (708) 418-5799 |
| Full Name | Pro Dental Il - Chad Wise Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 17653 Torrence Ave, Lansing, Illinois |
| Authorized Official Name and Position | Simone Wilson-adeleke (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 7327318398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Dental Il - Chad Wise Pc 10 Woodbridge Center Dr Ste 520 Woodbridge NJ 07095-1152 Ph: (732) 731-8398 | Pro Dental Il - Chad Wise Pc 17653 Torrence Ave Lansing IL 60438-4839 Ph: (708) 418-8999 |
| NPI Number | 1134956410 |
|---|---|
| Provider Enumeration Date | 09/19/2024 |
| Last Update Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134956410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Pallotto Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18610 Burnham Ave Ste D, Lansing, IL 60438 Phone: 708-895-0778 | |
Wayne M Mrjenovich Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19111 Burnham Ave, Lansing, IL 60438 Phone: 708-895-0500 Fax: 708-895-7700 | |
Pallotto Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18610 Burnham Ave, Lansing, IL 60438 Phone: 708-895-0778 | |
All Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3442 Ridge Rd, Lansing, IL 60438 Phone: 708-889-9442 | |
Patrick J Honsa Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3330 181st Pl, Suite 201, Lansing, IL 60438 Phone: 708-865-3460 Fax: 708-895-6560 | |
Becker Dental Company Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3243 Ridge Rd, Lansing, IL 60438 Phone: 708-895-9322 |