Progressive Dental & Associates, PC
Durable Medical Equipment & Medical Supplies in Matteson, IL. Organization (NPI-2).
NPI number1386201622
StatusActive
Last updated in NPPESDec 17, 2019
Details
- NPI
- 1386201622
- Entity type
- Organization (NPI-2)
- Legal business name
- Progressive Dental & Associates, PC
- Organization subpart
- No
- Enumeration date
- May 22, 2019
- Certification date
- Dec 17, 2019
- Last updated
- Dec 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Other names
- Progressive Dental And Associates, PC (Doing Business As)
Practice location
20402 Crawford AveMatteson, IL 60443-1734
Phone 708-747-4294 · Fax 708-747-5223
Mailing address
20402 Crawford AveMatteson, IL 60443-1734
Phone 708-747-4294 · Fax 708-747-5223
Authorized official
Robert Derell Durr
Owner/Dentist
7087474294
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All 10 Durable Medical Equipment & Medical Supplies providers in Matteson · All 584 providers in Matteson
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