| Ridge Dental Group, Ltd | |
|
2003 Ridge Road Minooka IL 60447 | |
| (815) 521-4292 | |
| Not Available |
| Full Name | Ridge Dental Group, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2003 Ridge Road, Minooka, Illinois |
| Authorized Official Name and Position | Matthew J Faith (OWNER) |
| Authorized Official Contact | 8155214292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridge Dental Group, Ltd 2003 Ridge Road Minooka IL 60447 Ph: (815) 521-4292 | Ridge Dental Group, Ltd 2003 Ridge Road Minooka IL 60447 Ph: (815) 521-4292 |
| NPI Number | 1710196191 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 12/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710196191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019024522 (Illinois) | Primary |
Kurt M. Homb, D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 E Mondamin St, Minooka, IL 60447 Phone: 815-467-4414 | |
Dental Professionals Of Illinois, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Us Highway 6, Minooka, IL 60447 Phone: 815-620-0889 |