| Professional Dental Specialties | |
|
1900 Spring Rd Ste 205 Oak Brook IL 60523-1479 | |
| (630) 573-0369 | |
| Not Available |
| Full Name | Professional Dental Specialties |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1900 Spring Rd Ste 205, Oak Brook, Illinois |
| Authorized Official Name and Position | Amanda Piche (OWNER) |
| Authorized Official Contact | 3193897177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Specialties 17236 Munster Ln Tinley Park IL 60477-4608 Ph: (319) 389-7177 | Professional Dental Specialties 1900 Spring Rd Ste 205 Oak Brook IL 60523-1479 Ph: (630) 573-0369 |
| NPI Number | 1417757915 |
|---|---|
| Provider Enumeration Date | 03/14/2025 |
| Last Update Date | 03/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417757915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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