Individual
DR. BRIAN ANDREW PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14831 W 159TH ST STE 1, LOCKPORT, IL 60491-9008
(630) 324-5369
(815) 744-7059
Mailing address
14831 W 159TH ST STE 1, LOCKPORT, IL 60491-9008
(630) 324-5369
(815) 744-7059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031399
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205145554
SHOREWOOD SVC LOCATION
—
01
—
1295165439
BARRINGTON SVC LOCATION
—
01
—
1306177241
OAKBROOK SVC LOCATION
—
01
—
1508198474
CHICAGO SVC LOCATION
—
01
—
1760882005
SKOKIE SVC LOCATION
—
01
—
F400420355
MEDICARE PART B PTAN
—
01
—
F400420356
MEDICARE PART B PTAN
—
01
—
P01931253
RAILROAD PTAN
—
Enumeration date
08/08/2006
Last updated
01/19/2021
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