Illinois Dental Providers (tinley Park), Ltd.
NPI #1508837709 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1508837709
- Entity Type
- Organization
- Organization Name
- Illinois Dental Providers (tinley Park), Ltd.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTALONE PARTNERS, INC
- Primary Specialty
- Dentist
- Enumeration Date
- Jan 27, 2006
- Last Updated
- Feb 5, 2018
Practice Location
- Address
- 15909 HARLEM AVE
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60477-1609
- Phone
- (708) 429-0915
Authorized Official
- Name
- RACHEL NITTINGER
- Title
- MANAGER CREDENTIALING
- Phone
- (972) 755-0816
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - Endodontics — Endodontics |
| Dentist - General Practice — General Practice |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Periodontics — Periodontics |
| Dentist - Prosthodontics — Prosthodontics |
| Dentist |
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