| Crystal Lake Pediatric Dental Ltd. | |
|
820 E Terra Cotta Ave 111 Crystal Lake IL 60014-3649 | |
| (815) 356-7960 | |
| (815) 356-8051 |
| Full Name | Crystal Lake Pediatric Dental Ltd. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 820 E Terra Cotta Ave, Crystal Lake, Illinois |
| Authorized Official Name and Position | Anthony Louis Minutillo (PRESIDENT) |
| Authorized Official Contact | 8153567960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Lake Pediatric Dental Ltd. 820 E Terra Cotta Ave 111 Crystal Lake IL 60014-3649 Ph: (815) 356-7960 | Crystal Lake Pediatric Dental Ltd. 820 E Terra Cotta Ave 111 Crystal Lake IL 60014-3649 Ph: (815) 356-7960 |
| NPI Number | 1043311681 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043311681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Illinois) | Primary |
Hoffman Orthodontics Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 Devonshire Ln, Crystal Lake, IL 60014 Phone: 815-459-3434 Fax: 815-459-3498 | |
Hoffman Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 521 Devonshire Ln, Crystal Lake, IL 60014 Phone: 815-459-3434 Fax: 815-459-3498 | |
Dcp Of Illinois - Crystal Lake Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1145 South Route 31, Siute J, Crystal Lake, IL 60039 Phone: 815-477-5399 Fax: 815-477-2593 | |
Mej & Associates Enterprises Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Carlemont Dr, Suite #f, Crystal Lake, IL 60014 Phone: 815-356-3977 | |
Dartmoor Dental Clinic Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Carlemont Dr, Suite C, Crystal Lake, IL 60014 Phone: 815-477-2273 | |
First Smiles Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 278 Memorial Dr, Suite B, Crystal Lake, IL 60014 Phone: 815-455-3110 |