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Dental Professionals Of Illinois, P.C

Dentist, General Practice in Naperville, IL. Organization (NPI-2).

NPI number1659955052
StatusActive
Last updated in NPPESMay 11, 2021

Details

NPI
1659955052
Entity type
Organization (NPI-2)
Legal business name
Dental Professionals Of Illinois, P.C
Organization subpart
Yes
Enumeration date
May 11, 2021
Certification date
Apr 14, 2021
Last updated
May 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Other names

  • Naperville Dental Specialists (Doing Business As)

Practice location

55 S Main St Ste 241
Naperville, IL 60540-5377

Phone 630-848-2010

Mailing address

55 S Main St Ste 241
Naperville, IL 60540-5377

Authorized official

Tabatha Lemke
Credentialing Coordinator
2175406078

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