Amanda Collins, DMD
Dentist in Maywood, IL. Individual provider (NPI-1).
NPI number1952004822
StatusActive
Last updated in NPPESOct 7, 2023
Details
- NPI
- 1952004822
- Entity type
- Individual (NPI-1)
- Name
- Amanda Collins
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2023
- Certification date
- Oct 7, 2023
- Last updated
- Oct 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 018.002257 | IL | Yes |
Practice location
2160 S 1st AveMaywood, IL 60153-3328
Phone 888-584-7888
Mailing address
13402 S 88th AveOrland Park, IL 60462-1416
Phone 708-420-3771
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