| Countryside Dental Group, Pc | |
|
6335 Joliet Rd 200 Countryside IL 60525-7427 | |
| (708) 352-1830 | |
| Not Available |
| Full Name | Countryside Dental Group, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6335 Joliet Rd, Countryside, Illinois |
| Authorized Official Name and Position | Leila Shahbandar (PRESIDENT) |
| Authorized Official Contact | 3124982937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Countryside Dental Group, Pc 6335 Joliet Rd Ste 200 Countryside IL 60525-3986 Ph: (708) 352-1830 | Countryside Dental Group, Pc 6335 Joliet Rd 200 Countryside IL 60525-7427 Ph: (708) 352-1830 |
| NPI Number | 1265812507 |
|---|---|
| Provider Enumeration Date | 06/02/2015 |
| Last Update Date | 08/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265812507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019028019 (Illinois) | Primary |
Lagrange Periodontics, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6520 Joliet Rd, Countryside, IL 60525 Phone: 708-354-4545 Fax: 708-354-0336 | |
Lagrange Perio Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6520 Joliet Rd, Countryside, IL 60525 Phone: 708-354-4545 | |
Gary N Taylor Dds, Ms, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 W 55th St, Suite 208, Countryside, IL 60525 Phone: 708-579-0488 | |
Dental Professionals Of Illinois, P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6335 Joliet Rd Ste 200, Countryside, IL 60525 Phone: 708-352-1830 | |
Russell T. Ras, Dds,ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6538 Joliet Rd, Countryside, IL 60525 Phone: 708-354-2227 Fax: 708-354-2367 | |
Robert R. Giering D.d.s. Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 W 55th St, Suite 205, Countryside, IL 60525 Phone: 708-354-3409 |