| Long Grove Dental, Pc | |
|
4160 Il-83 102 Long Grove IL 60047 | |
| (847) 634-0808 | |
| (847) 634-1654 |
| Full Name | Long Grove Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4160 Il-83, Long Grove, Illinois |
| Authorized Official Name and Position | Thomas Simcox (DIRECTOR - REVENUE CYCLE MANAGEMENT) |
| Authorized Official Contact | 2014001481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Grove Dental, Pc 4160 Il-83 102 Long Grove IL 60047 Ph: (847) 634-0808 | Long Grove Dental, Pc 4160 Il-83 102 Long Grove IL 60047 Ph: (847) 634-0808 |
| NPI Number | 1891656252 |
|---|---|
| Provider Enumeration Date | 11/24/2025 |
| Last Update Date | 11/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891656252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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