Illinois Dental Providers (harlem & North), Ltd.
NPI #1013980705 in Forest Park, Illinois
Provider Information
- NPI Number
- 1013980705
- Entity Type
- Organization
- Organization Name
- Illinois Dental Providers (harlem & North), Ltd.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTALONE PARTNERS, INC
- Primary Specialty
- Dentist
- Enumeration Date
- Feb 11, 2006
- Last Updated
- Feb 8, 2018
Practice Location
- Address
- 7235 MADISON ST
- City
- Forest Park
- State
- Illinois
- ZIP Code
- 60130-1764
- Phone
- (708) 405-9344
Authorized Official
- Name
- RACHEL NITTINGER
- Title
- MANAGER CREDENTIALING
- Phone
- (972) 755-0816
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Periodontics — Periodontics |
| Dentist - Prosthodontics — Prosthodontics |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - Endodontics — Endodontics |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist |
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