Organization
DENTAL EXPERTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHLOE DECOSTER (CREDENTIALING & ENROLLMENT)
(312) 274-4529
Entity
Organization
Contact information
Practice address
12200 SOUTH WESTERN AVE, STE 108, BLUE ISLAND, IL 60406-1493
(708) 385-3700
Mailing address
12200 SOUTH WESTERN AVE, STE 108, BLUE ISLAND, IL 60406-1493
(708) 385-3700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019024846
IL
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
03/18/2008
Last updated
04/06/2026
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