| Prime Endodontics | |
|
17047 Harlem Ave Tinley Park IL 60477-2739 | |
| (708) 580-0010 | |
| Not Available |
| Full Name | Prime Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 17047 Harlem Ave, Tinley Park, Illinois |
| Authorized Official Name and Position | Mahmoud Mona (PRESIDENT) |
| Authorized Official Contact | 7085800010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Endodontics 17047 Harlem Ave Tinley Park IL 60477-2739 Ph: (708) 580-0010 | Prime Endodontics 17047 Harlem Ave Tinley Park IL 60477-2739 Ph: (708) 580-0010 |
| NPI Number | 1275445835 |
|---|---|
| Provider Enumeration Date | 09/18/2026 |
| Last Update Date | 09/22/2026 |
| Certification Date | 09/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275445835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (NU) | Primary |
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