| Glen Ellyn Pediatric Dentistry ,p.c.. | |
|
45 S Park Blvd Suite #105 Glen Ellyn IL 60137-6280 | |
| (630) 858-8755 | |
| (630) 858-6204 |
| Full Name | Glen Ellyn Pediatric Dentistry ,p.c.. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 45 S Park Blvd, Glen Ellyn, Illinois |
| Authorized Official Name and Position | Martha A Lambert (CORP SECRETARY/TREASURER, MANAGER) |
| Authorized Official Contact | 6308588755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Ellyn Pediatric Dentistry ,p.c.. 45 S Park Blvd Suite #105 Glen Ellyn IL 60137-6280 Ph: (630) 858-8755 | Glen Ellyn Pediatric Dentistry ,p.c.. 45 S Park Blvd Suite #105 Glen Ellyn IL 60137-6280 Ph: (630) 858-8755 |
| NPI Number | 1043390792 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043390792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Concord Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 498 Hillside Ave Ste 1e, Glen Ellyn, IL 60137 Phone: 630-942-8110 Fax: 630-942-8272 | |
Glen Ellyn Orthodontics, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd, Suite 220, Glen Ellyn, IL 60137 Phone: 630-469-6200 Fax: 630-469-6203 | |
Robert F. Brandys Dds, Msd, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd, Suite 225, Glen Ellyn, IL 60137 Phone: 630-469-1500 Fax: 630-469-8533 | |
Park Blvd Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd, Ste 190, Glen Ellyn, IL 60137 Phone: 630-469-0800 Fax: 630-474-0597 | |
Paul Doodes Dds Phd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 S Park Blvd Ste 190, Glen Ellyn, IL 60137 Phone: 630-469-0800 Fax: 630-474-0597 | |
Loree Schweiger Nicholas Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 386 Pennsylvania Ave, #1n, Glen Ellyn, IL 60137 Phone: 630-858-2198 |