Organization
DUPAGE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY J NUGENT DDS (PRESIDENT DENTIST OWNER)
(630) 579-1600
Entity
Organization
Contact information
Practice address
636 RAYMOND DR, 102, NAPERVILLE, IL 60563
(630) 579-1600
(630) 579-0022
Mailing address
636 RAYMOND DR, 102, NAPERVILLE, IL 60563
(630) 579-1600
(630) 579-0022
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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