Organization
JOSHUA PROMPTON DDS PLLC
Active
Other names
Willow Festival Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA HARPER PROMPTON DDS (DENTIST/OWNER)
(832) 600-1069
Entity
Organization
Contact information
Practice address
840 WILLOW RD STE H, NORTHBROOK, IL 60062-6823
(847) 559-9550
(847) 559-9560
Mailing address
840 WILLOW RD STE H, NORTHBROOK, IL 60062-6823
(847) 559-9550
(847) 559-9560
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316402910
INDIVIDUAL NPI
IL
Enumeration date
05/12/2021
Last updated
05/12/2021
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