| The Dental Store, Ltd. | |
|
1455 E Golf Rd Ste 118 Des Plaines IL 60016-1253 | |
| (847) 824-5044 | |
| Not Available |
| Full Name | The Dental Store, Ltd. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1455 E Golf Rd Ste 118, Des Plaines, Illinois |
| Authorized Official Name and Position | Jason Brenner (PRESIDENT) |
| Authorized Official Contact | 3474154944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Store, Ltd. 1061 S Roselle Rd Schaumburg IL 60193-3900 Ph: (847) 301-0400 | The Dental Store, Ltd. 1455 E Golf Rd Ste 118 Des Plaines IL 60016-1253 Ph: (847) 824-5044 |
| NPI Number | 1336013242 |
|---|---|
| Provider Enumeration Date | 10/02/2025 |
| Last Update Date | 10/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336013242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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