| Wise Dental Associates Pc | |
|
536 W Wise Rd Schaumburg IL 60193-3815 | |
| (847) 352-8822 | |
| (847) 352-9119 |
| Full Name | Wise Dental Associates Pc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 536 W Wise Rd, Schaumburg, Illinois |
| Authorized Official Name and Position | James P Glinos (PRESIDENT) |
| Authorized Official Contact | 8473528822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wise Dental Associates Pc 536 W Wise Rd Schaumburg IL 60193-3815 Ph: (847) 352-8822 | Wise Dental Associates Pc 536 W Wise Rd Schaumburg IL 60193-3815 Ph: (847) 352-8822 |
| NPI Number | 1780074765 |
|---|---|
| Provider Enumeration Date | 01/29/2015 |
| Last Update Date | 01/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780074765 | NPI | - | NPPES |
| 019021649 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 019021649 (Illinois) | Primary |
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