| Sycamore Family Dentistry, Ltd. | |
|
645 Plaza Dr Sycamore IL 60178-2719 | |
| (815) 895-2298 | |
| Not Available |
| Full Name | Sycamore Family Dentistry, Ltd. |
|---|---|
| Speciality | Dentist |
| Location | 645 Plaza Dr, Sycamore, Illinois |
| Authorized Official Name and Position | Joseph T Sullivan (OWNER/DENTIST) |
| Authorized Official Contact | 8158952298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sycamore Family Dentistry, Ltd. 645 Plaza Dr Sycamore IL 60178-2719 Ph: (815) 895-2298 | Sycamore Family Dentistry, Ltd. 645 Plaza Dr Sycamore IL 60178-2719 Ph: (815) 895-2298 |
| NPI Number | 1104011808 |
|---|---|
| Provider Enumeration Date | 09/06/2007 |
| Last Update Date | 09/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104011808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |
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