| Faith Dental Group, Ltd | |
|
1645 Irving Park Rd Hanover Park IL 60133-3382 | |
| (630) 837-4080 | |
| Not Available |
| Full Name | Faith Dental Group, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1645 Irving Park Rd, Hanover Park, Illinois |
| Authorized Official Name and Position | Matthew J Faith (OWNER) |
| Authorized Official Contact | 6308374080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Dental Group, Ltd 1645 Irving Park Rd Hanover Park IL 60133-3382 Ph: (630) 837-4080 | Faith Dental Group, Ltd 1645 Irving Park Rd Hanover Park IL 60133-3382 Ph: (630) 837-4080 |
| NPI Number | 1497095293 |
|---|---|
| Provider Enumeration Date | 02/15/2013 |
| Last Update Date | 02/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497095293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019024522 (Illinois) | Primary |
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