Kevin E Collins DDS PC

NPI #1912073768 in Lagrange, Illinois

Provider Information

NPI Number: 1912073768
Entity Type: Organization
Organization Name: Kevin E Collins DDS PC
Primary Specialty: Dentist
Enumeration Date: Nov 24, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 475 W 55TH STREET
Address 2: SUITE 204
City: Lagrange
State: Illinois
ZIP Code: 60525-3566
Phone: (708) 354-5575

Authorized Official

Name: DR. KEVIN E COLLINS, DDS
Title: PRESIDENT
Phone: (708) 354-5575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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