| Family Dental Of Orland Park | |
|
11041 W 179th St Orland Park IL 60467-9452 | |
| (708) 478-5093 | |
| (708) 478-5096 |
| Full Name | Family Dental Of Orland Park |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11041 W 179th St, Orland Park, Illinois |
| Authorized Official Name and Position | Lindsay Bearden (INS COORD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Of Orland Park 11041 W 179th St Orland Park IL 60467-9452 Ph: (708) 478-5093 | Family Dental Of Orland Park 11041 W 179th St Orland Park IL 60467-9452 Ph: (708) 478-5093 |
| NPI Number | 1356539225 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356539225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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