| Ashton Dental Pc | |
|
14403 S Bell Rd Homer Glen IL 60491-7881 | |
| (331) 431-9059 | |
| Not Available |
| Full Name | Ashton Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14403 S Bell Rd, Homer Glen, Illinois |
| Authorized Official Name and Position | Sohail S Shafi (MANAGER) |
| Authorized Official Contact | 6308423705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashton Dental Pc 1730 Park St Ste 106 Naperville IL 60563-2609 Ph: (708) 966-4018 | Ashton Dental Pc 14403 S Bell Rd Homer Glen IL 60491-7881 Ph: (331) 431-9059 |
| NPI Number | 1588055941 |
|---|---|
| Provider Enumeration Date | 02/06/2015 |
| Last Update Date | 12/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588055941 | NPI | - | NPPES |
| 019024809 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019024809 (Illinois) | Primary |
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