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
MEADOW LAKE DENTAL LLC
Active
Organization
MEADOW LAKE DENTAL LLC
Active
Parent organization
ACIERNO DENTAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACIERNO DENTAL, LLC
Authorized official
ALAN J ACIERNO DDS (MANAGER)
(630) 339-3172
Entity
Organization
Contact information
Practice address
3941 75TH ST, SUITE 102, AURORA, IL 60504-7924
(630) 851-5130
(630) 851-5739
Mailing address
129 S ROSELLE RD STE 102, SCHAUMBURG, IL 60193-5538
(630) 339-3172
(847) 891-6775
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
019021506
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144341108
NPPES
IL
Enumeration date
09/07/2014
Last updated
09/07/2014
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