Lagrange Perio LLC

NPI #1518689546 in Countryside, Illinois

Provider Information

NPI Number: 1518689546
Entity Type: Organization
Organization Name: Lagrange Perio LLC
Primary Specialty: Dentist - Periodontics
Enumeration Date: Sep 15, 2022
Last Updated: Sep 15, 2022

Practice Location

Address: 6520 JOLIET RD
City: Countryside
State: Illinois
ZIP Code: 60525-4649
Phone: (708) 354-4545

Authorized Official

Name: TIFFANY JENSEN
Title: MANAGER
Phone: (708) 354-4545

Specialties & Taxonomy Codes

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

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Provider Name	Specialty	City
DR. Michelle P Jennings, DDS	Dentist - Periodontics	Countryside	AI Deep Dive
DR. Eugene J Buksa, DDS, MS	Dentist - Periodontics	Countryside	AI Deep Dive
DR. Paul Steven Simmons, D.D.S., M.S.	Dentist - Periodontics	Cicero	AI Deep Dive
DR. Steven W. Seibert, D.M.D.	Dentist - Periodontics	Champaign	AI Deep Dive

Organizations

Provider Name	Specialty	City
Lagrange Periodontics, Ltd	Dentist - Periodontics	Countryside	AI Deep Dive

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