DR. Richard C Prendergast, D.D.S. , M.S.

NPI #1225108210 in Evanston, Illinois

Provider Information

NPI Number: 1225108210
Entity Type: Individual
Name: DR. Richard C Prendergast, D.D.S. , M.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: D.D.S. , M.S.
Enumeration Date: Nov 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 636 CHURCH ST
Address 2: SUITE 707
City: Evanston
State: Illinois
ZIP Code: 60201-4508
Phone: (847) 491-1880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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Organizations

Provider Name	Specialty	City
Evanston Periodontics, LLC	Dentist - Periodontics	Evanston	AI Deep Dive
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