Organization
LORETTA C. DAVIS, D.D.S. & ASSOCIATES (SPRING HILL), LTD.
Active
Parent organization
DENTALONE PARTNERS, INC
Other names
DentalWorks
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTALONE PARTNERS, INC
Authorized official
LORI BATES (CREDENTIALING SPECIALIST)
(972) 755-0883
Entity
Organization
Contact information
Practice address
1190 S. RANDALL ROAD, SUITE #102, ELGIN, IL 60123
(847) 717-0414
(216) 584-1063
Mailing address
PO BOX 860036, MINNEAPOLIS, MN 55486
(972) 755-0883
(216) 584-1750
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
019.024468
IL
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
01/26/2006
Last updated
03/06/2017
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