| Revolution Dental | |
|
113 E Schaumburg Rd Schaumburg IL 60194-3518 | |
| (847) 301-1818 | |
| Not Available |
| Full Name | Revolution Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 113 E Schaumburg Rd, Schaumburg, Illinois |
| Authorized Official Name and Position | Carl Alexander-mutter Leonard (OWNER) |
| Authorized Official Contact | 3124986160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revolution Dental 456 Ida Pl Glencoe IL 60022-1913 Ph: (312) 498-6160 | Revolution Dental 113 E Schaumburg Rd Schaumburg IL 60194-3518 Ph: (847) 301-1818 |
| NPI Number | 1932671708 |
|---|---|
| Provider Enumeration Date | 12/18/2018 |
| Last Update Date | 12/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932671708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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