| Blackberry Dental | |
|
708 N Main St Elburn IL 60119-9103 | |
| (630) 365-6127 | |
| Not Available |
| Full Name | Blackberry Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 708 N Main St, Elburn, Illinois |
| Authorized Official Name and Position | Michael James Schuiling (OWNER) |
| Authorized Official Contact | 6303656127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackberry Dental 708 N Main St Elburn IL 60119-9103 Ph: (630) 365-6127 | Blackberry Dental 708 N Main St Elburn IL 60119-9103 Ph: (630) 365-6127 |
| NPI Number | 1639900475 |
|---|---|
| Provider Enumeration Date | 08/13/2024 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639900475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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