| White Plains Dental | |
|
3073 Dundee Rd Northbrook IL 60062-2401 | |
| (847) 496-0158 | |
| Not Available |
| Full Name | White Plains Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3073 Dundee Rd, Northbrook, Illinois |
| Authorized Official Name and Position | Sung Hong (DENTIST) |
| Authorized Official Contact | 8474960158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Plains Dental 278 Spring Creek Cir Schaumburg IL 60173-2154 Ph: (919) 824-9107 | White Plains Dental 3073 Dundee Rd Northbrook IL 60062-2401 Ph: (847) 496-0158 |
| NPI Number | 1417470915 |
|---|---|
| Provider Enumeration Date | 07/18/2017 |
| Last Update Date | 07/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417470915 | NPI | - | NPPES |
| 1558680835 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019029371 (Illinois) | Primary |
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