Skokie Family Dentistry PLLC
Dentist, General Practice in Skokie, IL. Organization (NPI-2).
NPI number1144934142
StatusActive
Last updated in NPPESJan 16, 2023
Details
- NPI
- 1144934142
- Entity type
- Organization (NPI-2)
- Legal business name
- Skokie Family Dentistry PLLC
- Organization subpart
- No
- Enumeration date
- Jan 13, 2023
- Certification date
- Jan 16, 2023
- Last updated
- Jan 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Lifetime Dentistry Of Skokie (Doing Business As)
Practice location
4709 Golf Rd Ste 112Skokie, IL 60076-1238
Phone 847-675-7750
Mailing address
4709 Golf Rd Ste 112Skokie, IL 60076-1238
Phone 847-675-7750
Authorized official
Robert Stites
Insurance Coordinator-Decisionone
6308695857
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All 97 General Practice Dentistry providers in Skokie · All 3,119 providers in Skokie
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