| Tinley Dental Group Llc | |
|
16860 Oak Park Ave Suite 202 Tinley Park IL 60477-2761 | |
| (708) 532-4363 | |
| (708) 532-0549 |
| Full Name | Tinley Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16860 Oak Park Ave, Tinley Park, Illinois |
| Authorized Official Name and Position | James Becker (MANAGER) |
| Authorized Official Contact | 7085324363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tinley Dental Group Llc 16860 Oak Park Ave Suite 202 Tinley Park IL 60477-2761 Ph: (708) 532-4363 | Tinley Dental Group Llc 16860 Oak Park Ave Suite 202 Tinley Park IL 60477-2761 Ph: (708) 532-4363 |
| NPI Number | 1063786838 |
|---|---|
| Provider Enumeration Date | 02/26/2012 |
| Last Update Date | 02/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063786838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019020163 (Illinois) | Primary |
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