Long Grove Dental, PC
NPI #1891656252 in Long Grove, Illinois
Provider Information
- NPI Number
- 1891656252
- Entity Type
- Organization
- Organization Name
- Long Grove Dental, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 24, 2025
- Last Updated
- Nov 24, 2025
Practice Location
- Address
- 4160 IL-83
- Address 2
- 102
- City
- Long Grove
- State
- Illinois
- ZIP Code
- 60047
- Phone
- (847) 634-0808
Authorized Official
- Name
- THOMAS SIMCOX
- Title
- DIRECTOR - REVENUE CYCLE MANAGEMENT
- Phone
- (201) 400-1481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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