| Smd Orthodontics | |
|
300 S Mclean Blvd Ste M Elgin IL 60123-1023 | |
| (847) 531-5250 | |
| (847) 531-5270 |
| Full Name | Smd Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 300 S Mclean Blvd Ste M, Elgin, Illinois |
| Authorized Official Name and Position | Osmar Rodriguez (PRESIDENT/DENTIST) |
| Authorized Official Contact | 8475315250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smd Orthodontics 300 S Mclean Blvd Ste M Elgin IL 60123-1023 Ph: (847) 531-5250 | Smd Orthodontics 300 S Mclean Blvd Ste M Elgin IL 60123-1023 Ph: (847) 531-5250 |
| NPI Number | 1689908535 |
|---|---|
| Provider Enumeration Date | 09/24/2009 |
| Last Update Date | 09/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689908535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 021001216 (Illinois) | Primary |
| 302F00000X | Exclusive Provider Organization | 021001216 (Illinois) | Secondary |
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