Crystal Lake Pediatric Dental Ltd. - Dental Clinic in Crystal Lake, IL

Crystal Lake Pediatric Dental Ltd. is a dental clinic (Dentist - Pediatric Dentistry) in Crystal Lake, Illinois. The current practice location for Crystal Lake Pediatric Dental Ltd. is 820 E Terra Cotta Ave, 111, Crystal Lake, Illinois. For appointments, you can reach them via phone at (815) 356-7960. The mailing address for Crystal Lake Pediatric Dental Ltd. is 820 E Terra Cotta Ave, 111, Crystal Lake, Illinois and phone number is (815) 356-7960.

Crystal Lake Pediatric Dental Ltd. is licensed to practice in Illinois (license number ) and its NPI number is 1043311681. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (815) 356-7960.

Contact Information

Crystal Lake Pediatric Dental Ltd.
820 E Terra Cotta Ave
111
Crystal Lake
IL 60014-3649
(815) 356-7960
(815) 356-8051

Map and Direction


Dental Care Clinic Profile

Full NameCrystal Lake Pediatric Dental Ltd.
SpecialityDentist - Pediatric Dentistry
Location820 E Terra Cotta Ave, Crystal Lake, Illinois
Authorized Official Name and PositionAnthony Louis Minutillo (PRESIDENT)
Authorized Official Contact8153567960
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice 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 Details:

NPI Number1043311681
Provider Enumeration Date09/26/2006
Last Update Date08/22/2020

Medical Identifiers

Medical identifiers for Crystal Lake Pediatric Dental Ltd. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043311681NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry (Illinois)Primary

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.