Organization
SHADY OAK DENTAL LLC ORAL AND MAXILLOFACIAL SURGEONS OF NORTHWEST IL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT C BARES DDS (PRESIDENT)
(815) 938-2575
Entity
Organization
Contact information
Practice address
208 N WALNUT AVE, FORRESTON, IL 61030-9330
(815) 938-2575
Mailing address
208 N WALNUT AVE, FORRESTON, IL 61030-9330
(815) 938-2575
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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