Dexter Dental LLC

NPI #1942462080 in Elgin, Illinois

Provider Information

NPI Number: 1942462080
Entity Type: Organization
Organization Name: Dexter Dental LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jun 30, 2008
Last Updated: Jun 25, 2021

Practice Location

Address: 47 CLOCK TOWER PLAZA
City: Elgin
State: Illinois
ZIP Code: 60120-7800
Phone: (847) 695-8780

Authorized Official

Name: MRS. BRANDON ALEXANDER TAYLOR, CPCS
Title: CREDENTIALING & PAYER RELATIONS MAN
Phone: (847) 453-7396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Clinic/Center - Dental — Dental	261QD0000X	Primary

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