Organization
ARTISAN DENTAL GROUP - RICHARD MADDALOZZO DDS MS LLC
Active
Parent organization
ARTISAN DENTAL GROUP OF ILLINOIS LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARTISAN DENTAL GROUP OF ILLINOIS LLC
Authorized official
DR. RICHARD MADDALOZZO D.D.S., M.S. (MEMBER)
(847) 934-4280
Entity
Organization
Contact information
Practice address
649 N 1ST BANK DR, PALATINE, IL 60067-8111
(847) 934-4280
(847) 934-4294
Mailing address
649 N 1ST BANK DR, PALATINE, IL 60067-8111
(847) 934-4280
(847) 934-4294
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019021223
IL
1223G0001X
General Practice Dentistry
019021223
IL
1223P0300X
Periodontics
021001510
IL
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us