| Bloomingdale Dental Center | |
|
183 S Bloomingdale Rd Ste 102 Bloomingdale IL 60108-1454 | |
| (224) 520-8665 | |
| Not Available |
| Full Name | Bloomingdale Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 183 S Bloomingdale Rd Ste 102, Bloomingdale, Illinois |
| Authorized Official Name and Position | Kevin Fatland (MANAGER) |
| Authorized Official Contact | 7089907869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomingdale Dental Center 7855 Pineview Ln Frankfort IL 60423-9004 Ph: (708) 990-7869 | Bloomingdale Dental Center 183 S Bloomingdale Rd Ste 102 Bloomingdale IL 60108-1454 Ph: (224) 520-8665 |
| NPI Number | 1578140794 |
|---|---|
| Provider Enumeration Date | 03/24/2021 |
| Last Update Date | 04/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578140794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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