| Old Town Dental Associates Ltd | |
| 
					1397 Main St Crete IL 60417-2951  | |
| (708) 672-5353 | |
| Not Available | 
| Full Name | Old Town Dental Associates Ltd | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 1397 Main St, Crete, Illinois | 
| Authorized Official Name and Position | Angela R. Bammann (PRES) | 
| Authorized Official Contact | 7086725353 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Old Town Dental Associates Ltd 1397 Main St P.o.box 37 Crete IL 60417-2951 Ph: (708) 672-5353  | Old Town Dental Associates Ltd 1397 Main St Crete IL 60417-2951 Ph: (708) 672-5353  | 
| NPI Number | 1801859137 | 
|---|---|
| Provider Enumeration Date | 04/08/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1801859137 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |