| Lagrange Perio Llc | |
|
6520 Joliet Rd Countryside IL 60525-4649 | |
| (708) 354-4545 | |
| Not Available |
| Full Name | Lagrange Perio Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 6520 Joliet Rd, Countryside, Illinois |
| Authorized Official Name and Position | Tiffany Jensen (MANAGER) |
| Authorized Official Contact | 7083544545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lagrange Perio Llc 6520 Joliet Rd Countryside IL 60525-4649 Ph: (708) 354-4545 | Lagrange Perio Llc 6520 Joliet Rd Countryside IL 60525-4649 Ph: (708) 354-4545 |
| NPI Number | 1518689546 |
|---|---|
| Provider Enumeration Date | 09/15/2022 |
| Last Update Date | 09/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518689546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
Lagrange Periodontics, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6520 Joliet Rd, Countryside, IL 60525 Phone: 708-354-4545 Fax: 708-354-0336 | |
Countryside Dental Group, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6335 Joliet Rd, 200, Countryside, IL 60525 Phone: 708-352-1830 | |
Gary N Taylor Dds, Ms, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 W 55th St, Suite 208, Countryside, IL 60525 Phone: 708-579-0488 | |
Dental Professionals Of Illinois, P.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6335 Joliet Rd Ste 200, Countryside, IL 60525 Phone: 708-352-1830 | |
Russell T. Ras, Dds,ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6538 Joliet Rd, Countryside, IL 60525 Phone: 708-354-2227 Fax: 708-354-2367 | |
Robert R. Giering D.d.s. Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 475 W 55th St, Suite 205, Countryside, IL 60525 Phone: 708-354-3409 |