The Dental Store, Ltd.
NPI #1336013242 in Des Plaines, Illinois
Provider Information
- NPI Number
- 1336013242
- Entity Type
- Organization
- Organization Name
- The Dental Store, Ltd.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- THE DENTAL STORE, LTD.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 2, 2025
- Last Updated
- Oct 2, 2025
Practice Location
- Address
- 1455 E GOLF RD STE 118
- City
- Des Plaines
- State
- Illinois
- ZIP Code
- 60016-1253
- Phone
- (847) 824-5044
Authorized Official
- Name
- JASON BRENNER, DDS
- Title
- PRESIDENT
- Phone
- (347) 415-4944
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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