| Ottawa Children's Dentistry, Llc | |
|
1704 Polaris Cir Ottawa IL 61350-1773 | |
| (815) 434-6447 | |
| (815) 434-2828 |
| Full Name | Ottawa Children's Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1704 Polaris Cir, Ottawa, Illinois |
| Authorized Official Name and Position | Bobbi J. Laun (PEDIATRIC DENTIST/OWNER) |
| Authorized Official Contact | 8154346447 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ottawa Children's Dentistry, Llc 1704 Polaris Cir Ottawa IL 61350-1773 Ph: (815) 434-6447 | Ottawa Children's Dentistry, Llc 1704 Polaris Cir Ottawa IL 61350-1773 Ph: (815) 434-6447 |
| NPI Number | 1235592049 |
|---|---|
| Provider Enumeration Date | 03/30/2016 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235592049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 021.002684 (Illinois) | Primary |
John M Conness Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1704 Polaris Cir, Suite 1, Ottawa, IL 61350 Phone: 815-434-1022 Fax: 815-434-1047 | |
Myorthos Illinois Orthodontics Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1704 Polaris Cir, Ottawa, IL 61350 Phone: 815-434-4222 | |
Mark Benavides D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1703 Polaris Cir, Ottawa, IL 61350 Phone: 815-434-0152 | |
John C Harbeck Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1210 W Madison St, Ottawa, IL 61350 Phone: 815-433-1242 Fax: 815-433-6931 | |
Sleep Better Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 110 W Center St, Ottawa, IL 61350 Phone: 815-434-6411 | |
Richard A Ewald And William L Wrobel Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1704 Polaris Cir, Ottawa, IL 61350 Phone: 815-434-6447 |