| Uptown Dentistry | |
|
80 N Northwest Hwy Park Ridge IL 60068 | |
| (847) 292-0600 | |
| Not Available |
| Full Name | Uptown Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 80 N Northwest Hwy, Park Ridge, Illinois |
| Authorized Official Name and Position | Jeffrey Ruttencutter (OWNER) |
| Authorized Official Contact | 8472920600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uptown Dentistry 80 N Northwest Hwy Park Ridge IL 60068 Ph: (847) 292-0600 | Uptown Dentistry 80 N Northwest Hwy Park Ridge IL 60068 Ph: (847) 292-0600 |
| NPI Number | 1275828360 |
|---|---|
| Provider Enumeration Date | 06/16/2011 |
| Last Update Date | 10/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275828360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019.028273 (Illinois) | Primary |
| 122300000X | Dentist | 019.027336 (Illinois) | Secondary |
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