Illinois Dental Providers, P. C.
NPI #1659821312 in Plainfield, Illinois
Provider Information
- NPI Number
- 1659821312
- Entity Type
- Organization
- Organization Name
- Illinois Dental Providers, P. C.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTALONE PARTNERS, INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 6, 2016
- Last Updated
- Mar 20, 2018
Practice Location
- Address
- 12720 S ROUTE 59
- Address 2
- SUITE 200
- City
- Plainfield
- State
- Illinois
- ZIP Code
- 60585-5505
- Phone
- (972) 755-0883
Authorized Official
- Name
- RACHEL NITTINGER
- Title
- MANAGER CREDENTIALING
- Phone
- (972) 755-0816
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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