| Gregory V. Sierminski, D.D.S., P.C. | |
|
7442 Hancock Drive Crystal Lake IL 60097 | |
| (815) 728-0100 | |
| (815) 728-0114 |
| Full Name | Gregory V. Sierminski, D.D.S., P.C. |
|---|---|
| Speciality | Dentist |
| Location | 7442 Hancock Drive, Crystal Lake, Illinois |
| Authorized Official Name and Position | Gregory Valentine Sierminski (DENTIST) |
| Authorized Official Contact | 8157280100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory V. Sierminski, D.D.S., P.C. P.o. Box 388 Wonder Lake IL 60097 Ph: (815) 728-0100 | Gregory V. Sierminski, D.D.S., P.C. 7442 Hancock Drive Crystal Lake IL 60097 Ph: (815) 728-0100 |
| NPI Number | 1720259013 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 03/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720259013 | NPI | - | NPPES |
| 101265 | Medicaid | IL | |
| 1003734 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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