Organization
DENNIS DETTMANN, O.D. S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS E DETTMANN O.D. (OWNER)
(630) 257-6493
Entity
Organization
Contact information
Practice address
21219 SILKTREE CIR, PLAINFIELD, IL 60544-9359
(630) 257-6493
(630) 243-6293
Mailing address
21219 SILKTREE CIR, PLAINFIELD, IL 60544-9359
(630) 257-6493
(630) 243-6293
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046007054
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046007054
—
IL
Enumeration date
09/06/2005
Last updated
09/09/2024
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