| Gogineni Dental | |
|
210 N Pine St New Lenox IL 60451-1757 | |
| (815) 485-8252 | |
| Not Available |
| Full Name | Gogineni Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 210 N Pine St, New Lenox, Illinois |
| Authorized Official Name and Position | Sirisha Gogineni (DENTIST) |
| Authorized Official Contact | 8478999517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gogineni Dental 1322 S Prairie Ave Unit 1001 Chicago IL 60605-3074 Ph: () - | Gogineni Dental 210 N Pine St New Lenox IL 60451-1757 Ph: (815) 485-8252 |
| NPI Number | 1114858776 |
|---|---|
| Provider Enumeration Date | 05/25/2026 |
| Last Update Date | 05/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114858776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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