| Toothtown Pllc | |
|
303 W Lake St Ste 300 Addison IL 60101-2564 | |
| (630) 352-1547 | |
| Not Available |
| Full Name | Toothtown Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 303 W Lake St Ste 300, Addison, Illinois |
| Authorized Official Name and Position | Yusuf Fahmy (OWNER) |
| Authorized Official Contact | 6303521547 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Toothtown Pllc 1042 N Yale Ave Villa Park IL 60181-1146 Ph: (630) 352-1547 | Toothtown Pllc 303 W Lake St Ste 300 Addison IL 60101-2564 Ph: (630) 352-1547 |
| NPI Number | 1508590415 |
|---|---|
| Provider Enumeration Date | 07/15/2022 |
| Last Update Date | 07/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508590415 | NPI | - | NPPES |
| 019030794 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Addison Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 W Army Trail Blvd, Suite 2, Addison, IL 60101 Phone: 630-543-8688 Fax: 630-543-8692 | |
Smiles Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 W Army Trail Blvd, Unit D, Addison, IL 60101 Phone: 630-458-0555 | |
Esha Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1409 W Lake St, Addison, IL 60101 Phone: 630-660-8929 | |
Signature Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 N Swift Rd, Suite G, Addison, IL 60101 Phone: 630-627-7626 Fax: 630-627-7626 | |
Addison Swift Dental Center Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 N Swift Rd Ste G, Addison, IL 60101 Phone: 630-627-7626 | |
Familia Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W. Lake St., Addison, IL 60101 Phone: 630-628-3115 Fax: 630-628-3116 | |
Mallard Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 S Addison Rd, Ste 101, Addison, IL 60101 Phone: 630-834-4343 Fax: 630-834-6308 |