| D&d Dental,llc | |
|
3902 Harlem Ave Lyons IL 60534-1208 | |
| (646) 270-0496 | |
| Not Available |
| Full Name | D&d Dental,llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3902 Harlem Ave, Lyons, Illinois |
| Authorized Official Name and Position | Ahmed M Hegazy (PRESIDENT) |
| Authorized Official Contact | 6462700496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D&d Dental,llc 1629 S Prairie Ave Unit 902 Chicago IL 60616-5058 Ph: (646) 270-0496 | D&d Dental,llc 3902 Harlem Ave Lyons IL 60534-1208 Ph: (646) 270-0496 |
| NPI Number | 1124695655 |
|---|---|
| Provider Enumeration Date | 06/04/2021 |
| Last Update Date | 06/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124695655 | NPI | - | NPPES |
| 1487211694 | Medicaid | IL | |
| 1346301462 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Alldent Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3902 Harlem Ave, Lyons, IL 60534 Phone: 708-442-1900 Fax: 708-442-4999 |