| Michael A. Esposito DDS, P.C. | |
|
5646 Saint Charles Rd Suite C Berkeley IL 60163-1148 | |
| (708) 544-9773 | |
| Not Available |
| Full Name | Michael A. Esposito DDS, P.C. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5646 Saint Charles Rd, Berkeley, Illinois |
| Authorized Official Name and Position | Michael a Esposito (OWNER) |
| Authorized Official Contact | 7085449773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael A. Esposito DDS, P.C. 5646 Saint Charles Rd Suite C Berkeley IL 60163-1148 Ph: (708) 544-9773 | Michael A. Esposito DDS, P.C. 5646 Saint Charles Rd Suite C Berkeley IL 60163-1148 Ph: (708) 544-9773 |
| NPI Number | 1386095933 |
|---|---|
| Provider Enumeration Date | 06/24/2016 |
| Last Update Date | 06/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386095933 | NPI | - | NPPES |
| 019-019100 | Other | IL | STATE DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-019100 (Illinois) | Primary |
Berkeley Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5646 Saint Charles Rd, Suite C, Berkeley, IL 60163 Phone: 708-544-7474 |
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