| Ralph Shepstone, D.d.s. | |
|
3633 West Lake Ave. Suite 304 Glenview IL 60026-5801 | |
| (847) 998-8989 | |
| (847) 998-8983 |
| Full Name | Ralph Shepstone, D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3633 West Lake Ave., Glenview, Illinois |
| Authorized Official Name and Position | Ralph Francis Shepstone (HEALTH CARE PROVIDER/OWNER) |
| Authorized Official Contact | 8479988989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph Shepstone, D.d.s. 3633 West Lake Ave. Suite 304 Glenview IL 60026-5801 Ph: (847) 998-8989 | Ralph Shepstone, D.d.s. 3633 West Lake Ave. Suite 304 Glenview IL 60026-5801 Ph: (847) 998-8989 |
| NPI Number | 1831457639 |
|---|---|
| Provider Enumeration Date | 04/30/2012 |
| Last Update Date | 04/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831457639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-020243 (Illinois) | Primary |
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