Individual
DR. MATTHEW STEPHEN PRESCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1640 N. WELLS STREET, SUITE 205, CHICAGO, IL 60614
(312) 642-4218
(312) 642-6418
Mailing address
1640 N. WELLS STREET, SUITE 205, CHICAGO, IL 60614
(312) 642-4218
(312) 642-6418
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-022895
IL
Other
Enumeration date
12/19/2008
Last updated
12/19/2008
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