| The Dentist Tree | |
|
6420 W 127th St Suite 102 Palos Heights IL 60463 | |
| (708) 597-3531 | |
| Not Available |
| Full Name | The Dentist Tree |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6420 W 127th St, Palos Heights, Illinois |
| Authorized Official Name and Position | Erik L Nelson (VICE PRESIDENT) |
| Authorized Official Contact | 7085973531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dentist Tree 6420 W 127th St Suite 102 Palos Heights IL 60463 Ph: (708) 597-3531 | The Dentist Tree 6420 W 127th St Suite 102 Palos Heights IL 60463 Ph: (708) 597-3531 |
| NPI Number | 1245350321 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 07/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245350321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019023339 (Illinois) | Primary |
| 1223G0001X | Dentist - General Practice | 019024471 (Illinois) | Secondary |
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