Organization
DILLONS DENTAL SERVICES LLC
Active
Other names
Dillon Dental Services LTD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY WAYNE DILLON DDS PHD (CEO)
(708) 862-1800
Entity
Organization
Contact information
Practice address
2000 E 159TH ST, CALUMET CITY, IL 60409
(708) 862-1800
(708) 862-1800
Mailing address
PO BOX 1355, CALUMET CITY, IL 60409
(708) 862-1800
(708) 862-5098
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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