Winthrop Harbor Dental Center | |
644 Sheridan Rd Suite 105 Winthrop Harbor IL 60096-1350 | |
(847) 872-5626 | |
(847) 746-2900 |
Full Name | Winthrop Harbor Dental Center |
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Speciality | Dentist - General Practice |
Location | 644 Sheridan Rd, Winthrop Harbor, Illinois |
Authorized Official Name and Position | Michelle L Opelt (BUSINESS MANAGER) |
Authorized Official Contact | 8478725626 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Winthrop Harbor Dental Center 644 Sheridan Rd Suite 105 Winthrop Harbor IL 60096-1350 Ph: (847) 872-5626 | Winthrop Harbor Dental Center 644 Sheridan Rd Suite 105 Winthrop Harbor IL 60096-1350 Ph: (847) 872-5626 |
NPI Number | 1306853429 |
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Provider Enumeration Date | 08/02/2006 |
Last Update Date | 11/28/2011 |
Identifier | Type | State | Issuer |
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1306853429 | NPI | - | NPPES |
TRI-CARE | Other | IL | 603323 |
BCBS OF IL | Other | IL | 80006341 |
UNITED CONCORDIA | Other | IL | 603323 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019015026 (Illinois) | Primary |