| Summit Dental Center Llc | |
|
7557 W 63rd St Summit IL 60501-1813 | |
| (708) 924-1749 | |
| Not Available |
| Full Name | Summit Dental Center Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7557 W 63rd St, Summit, Illinois |
| Authorized Official Name and Position | Muzaffar Mirza (OWNER) |
| Authorized Official Contact | 6306437860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Dental Center Llc 7557 W 63rd St Summit IL 60501-1813 Ph: (708) 924-1749 | Summit Dental Center Llc 7557 W 63rd St Summit IL 60501-1813 Ph: (708) 924-1749 |
| NPI Number | 1285240531 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 05/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285240531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dental Town Summit Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5836 S Harlem Ave, Summit, IL 60501 Phone: 708-863-2000 |