| Winthrop Harbor Dental Center | |
|
644 Sheridan Rd Suite 105 Winthrop Harbor IL 60096-1350 | |
| (847) 872-5626 | |
| (847) 746-2900 |
| Full Name | Winthrop Harbor Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 644 Sheridan Rd, Winthrop Harbor, Illinois |
| Authorized Official Name and Position | Michelle L Opelt (BUSINESS MANAGER) |
| Authorized Official Contact | 8478725626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winthrop Harbor Dental Center 644 Sheridan Rd Suite 105 Winthrop Harbor IL 60096-1350 Ph: (847) 872-5626 | Winthrop Harbor Dental Center 644 Sheridan Rd Suite 105 Winthrop Harbor IL 60096-1350 Ph: (847) 872-5626 |
| NPI Number | 1306853429 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 11/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306853429 | NPI | - | NPPES |
| TRI-CARE | Other | IL | 603323 |
| BCBS OF IL | Other | IL | 80006341 |
| UNITED CONCORDIA | Other | IL | 603323 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019015026 (Illinois) | Primary |