| Matteson Orthodontics Mdpc | |
|
4440 Lincoln Hwy Suite 300 Matteson IL 60443-2349 | |
| (708) 481-6086 | |
| (708) 481-2525 |
| Full Name | Matteson Orthodontics Mdpc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4440 Lincoln Hwy, Matteson, Illinois |
| Authorized Official Name and Position | Keyur A Shah (PRESIDENT) |
| Authorized Official Contact | 7084816086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matteson Orthodontics Mdpc 4440 Lincoln Hwy Suite 300 Matteson IL 60443-2349 Ph: (708) 481-6086 | Matteson Orthodontics Mdpc 4440 Lincoln Hwy Suite 300 Matteson IL 60443-2349 Ph: (708) 481-6086 |
| NPI Number | 1588958177 |
|---|---|
| Provider Enumeration Date | 06/01/2011 |
| Last Update Date | 06/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588958177 | NPI | - | NPPES |
| 19025814 | Other | IL | HFS DENTAL PROGRAM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 021002232 (Illinois) | Primary |
Matteson Orthodontics Mdpc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4440 Lincoln Hwy Ste 300, Matteson, IL 60443 Phone: 708-481-6086 Fax: 708-481-2525 | |
Mobile Dental Care Of Illinois Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3716 217th St, Matteson, IL 60443 Phone: 773-329-4450 |