| Lagrange Periodontics | |
|
6520 Joliet Rd Countryside IL 60525-4649 | |
| (708) 354-4545 | |
| Not Available |
| Full Name | Lagrange Periodontics |
|---|---|
| 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 Periodontics 6520 Joliet Rd Countryside IL 60525-4649 Ph: (708) 354-4545 | Lagrange Periodontics 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 |
| Certification Date | 09/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518689546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | () | 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 |
Countryside Dental Group 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 |