| Mt. Prospect Dental Excellence, Ltd | |
|
1640 N. Arlington Heights Rd. Suite 201 Arlington Heights IL 60004 | |
| (847) 259-1111 | |
| (847) 259-2222 |
| Full Name | Mt. Prospect Dental Excellence, Ltd |
|---|---|
| Speciality | Clinic/center |
| Location | 1640 N. Arlington Heights Rd., Arlington Heights, Illinois |
| Authorized Official Name and Position | John E. Costello (DENTIST/OWNER) |
| Authorized Official Contact | 8472591111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. Prospect Dental Excellence, Ltd 1640 N. Arlington Heights Rd. Suite 201 Arlington Heights IL 60004 Ph: (847) 259-1111 | Mt. Prospect Dental Excellence, Ltd 1640 N. Arlington Heights Rd. Suite 201 Arlington Heights IL 60004 Ph: (847) 259-1111 |
| NPI Number | 1952452047 |
|---|---|
| Provider Enumeration Date | 01/15/2007 |
| Last Update Date | 09/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952452047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 19A12900 (Illinois) | Primary |
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