Michael T Tierney Dds.ltd | |
4781 State Route 71 Oswego IL 60543-7415 | |
(630) 554-5157 | |
(630) 554-5487 |
Full Name | Michael T Tierney Dds.ltd |
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Speciality | Clinic/center |
Location | 4781 State Route 71, Oswego, Illinois |
Authorized Official Name and Position | Michael T Tierney (DENTIST) |
Authorized Official Contact | 6305545157 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Michael T Tierney Dds.ltd 4781 State Route 71 Oswego IL 60543-7415 Ph: (630) 554-5157 | Michael T Tierney Dds.ltd 4781 State Route 71 Oswego IL 60543-7415 Ph: (630) 554-5157 |
NPI Number | 1043620131 |
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Provider Enumeration Date | 04/29/2014 |
Last Update Date | 04/29/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043620131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 01914998 (Illinois) | Primary |
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