| Plainfield Dental, Ltd. | |
|
15210 S Route 59 Plainfield IL 60544-2682 | |
| (815) 436-3399 | |
| (815) 436-0916 |
| Full Name | Plainfield Dental, Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15210 S Route 59, Plainfield, Illinois |
| Authorized Official Name and Position | William Thomas Peck (OWNER) |
| Authorized Official Contact | 8154363399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plainfield Dental, Ltd. 15210 S Route 59 Plainfield IL 60544-2682 Ph: (815) 436-3399 | Plainfield Dental, Ltd. 15210 S Route 59 Plainfield IL 60544-2682 Ph: (815) 436-3399 |
| NPI Number | 1518017045 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 11/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518017045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19020930 (Illinois) | Primary |
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