| Addison Dental Studio | |
|
1250 W Lake St Ste 20 Addison IL 60101-5744 | |
| (630) 628-1550 | |
| Not Available |
| Full Name | Addison Dental Studio |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1250 W Lake St Ste 20, Addison, Illinois |
| Authorized Official Name and Position | Lucy Shah (DENTIST) |
| Authorized Official Contact | 8478583980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Addison Dental Studio 3 Wood Oaks Dr South Barrington IL 60010-1092 Ph: (630) 628-1550 | Addison Dental Studio 1250 W Lake St Ste 20 Addison IL 60101-5744 Ph: (630) 628-1550 |
| NPI Number | 1255213898 |
|---|---|
| Provider Enumeration Date | 07/24/2025 |
| Last Update Date | 07/24/2025 |
| Certification Date | 07/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255213898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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