| Riverside Dental Investments Llc | |
|
13510 Julie Dr Poplar Grove IL 61065-7829 | |
| (815) 765-9900 | |
| (815) 765-9901 |
| Full Name | Riverside Dental Investments Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 13510 Julie Dr, Poplar Grove, Illinois |
| Authorized Official Name and Position | Sara J Bailey (OFFICE MANAGER) |
| Authorized Official Contact | 8157659900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Dental Investments Llc 13510 Julie Dr Poplar Grove IL 61065-7829 Ph: (815) 765-9900 | Riverside Dental Investments Llc 13510 Julie Dr Poplar Grove IL 61065-7829 Ph: (815) 765-9900 |
| NPI Number | 1386217164 |
|---|---|
| Provider Enumeration Date | 07/20/2021 |
| Last Update Date | 07/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386217164 | NPI | - | NPPES |
| 1134353014 | Other | IL | INDIVIDUAL NPI |
| 1356461255 | Other | IL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Thrive Mental Wellness, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13508 Julie Dr, Poplar Grove, IL 61065 Phone: 815-596-0098 |