| Smiles Of Carpentersville Pllc | |
|
27 S Western Ave Carpentersville IL 60110-1715 | |
| (224) 805-0502 | |
| (847) 496-5057 |
| Full Name | Smiles Of Carpentersville Pllc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 27 S Western Ave, Carpentersville, Illinois |
| Authorized Official Name and Position | Sandhya Grace Pallam (DENTIST) |
| Authorized Official Contact | 2248050502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles Of Carpentersville Pllc 537 E Dundee Rd Palatine IL 60074-2815 Ph: (224) 805-0502 | Smiles Of Carpentersville Pllc 27 S Western Ave Carpentersville IL 60110-1715 Ph: (224) 805-0502 |
| NPI Number | 1063079150 |
|---|---|
| Provider Enumeration Date | 05/23/2019 |
| Last Update Date | 05/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063079150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
Carpentersville Dental Care, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 S Kennedy Dr, Suite 23 A, Carpentersville, IL 60110 Phone: 847-551-1199 Fax: 847-783-5282 | |
Smiles On Randall Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2158 Randall Rd, Carpentersville, IL 60110 Phone: 847-426-9430 Fax: 847-426-9439 | |
Randall Oaks Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2261 Randall Rd, Carpentersville, IL 60110 Phone: 224-484-8221 Fax: 224-484-8368 |