| Route 14 Dentistry | |
|
6315 Northwest Hwy Suite A Crystal Lake IL 60014-7939 | |
| (815) 455-3368 | |
| (815) 455-3306 |
| Full Name | Route 14 Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 6315 Northwest Hwy, Crystal Lake, Illinois |
| Authorized Official Name and Position | James Becker (OFFICE MANAGER) |
| Authorized Official Contact | 8473589700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Route 14 Dentistry 6315 Northwest Hwy Suite A Crystal Lake IL 60014-7939 Ph: (815) 455-3368 | Route 14 Dentistry 6315 Northwest Hwy Suite A Crystal Lake IL 60014-7939 Ph: (815) 455-3368 |
| NPI Number | 1760921019 |
|---|---|
| Provider Enumeration Date | 02/20/2017 |
| Last Update Date | 02/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760921019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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