| Town Centre Dental Group, Ltd. | |
|
636 Church St Suite 309 Evanston IL 60201-4508 | |
| (847) 328-1180 | |
| (847) 328-1189 |
| Full Name | Town Centre Dental Group, Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 636 Church St, Evanston, Illinois |
| Authorized Official Name and Position | Robert S. Krueger (PRESIDENT) |
| Authorized Official Contact | 8473281180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Town Centre Dental Group, Ltd. 636 Church St Suite 309 Evanston IL 60201-4508 Ph: (847) 328-1180 | Town Centre Dental Group, Ltd. 636 Church St Suite 309 Evanston IL 60201-4508 Ph: (847) 328-1180 |
| NPI Number | 1154530459 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154530459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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