Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WINTHROP HARBOR DENTAL CENTER
Active
Organization
WINTHROP HARBOR DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE L OPELT (BUSINESS MANAGER)
(847) 872-5626
Entity
Organization
Contact information
Practice address
644 SHERIDAN RD, SUITE 105, WINTHROP HARBOR, IL 60096-1350
(847) 872-5626
(847) 746-2900
Mailing address
644 SHERIDAN RD, SUITE 105, WINTHROP HARBOR, IL 60096-1350
(847) 872-5626
(847) 746-2900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019015026
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCBS OF IL
80006341
IL
01
—
TRI-CARE
603323
IL
01
—
UNITED CONCORDIA
603323
IL
Enumeration date
08/02/2006
Last updated
11/28/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up