| Evanston Dental Associates Ltd. | |
|
500 Davis St Suite 510 Evanston IL 60201-4668 | |
| (847) 864-2243 | |
| (847) 864-2270 |
| Full Name | Evanston Dental Associates Ltd. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 500 Davis St, Evanston, Illinois |
| Authorized Official Name and Position | Joseph B Silberman (OWNER) |
| Authorized Official Contact | 8478642243 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evanston Dental Associates Ltd. 500 Davis St Suite 510 Evanston IL 60201-4668 Ph: (847) 864-2243 | Evanston Dental Associates Ltd. 500 Davis St Suite 510 Evanston IL 60201-4668 Ph: (847) 864-2243 |
| NPI Number | 1790174738 |
|---|---|
| Provider Enumeration Date | 01/14/2015 |
| Last Update Date | 01/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790174738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019-020446 (Illinois) | Primary |
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