Organization
ILLINOIS DENTAL PROVIDERS, P. C.
Active
Parent organization
DENTALONE PARTNERS, INC
Other names
DentalWorks of Plainfield
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTALONE PARTNERS, INC
Authorized official
RACHEL NITTINGER (MANAGER CREDENTIALING)
(972) 755-0816
Entity
Organization
Contact information
Practice address
12720 S ROUTE 59, SUITE 200, PLAINFIELD, IL 60585-5505
(972) 755-0883
(216) 584-1750
Mailing address
7160 DALLAS PKWY STE 400, PLANO, TX 75024-7111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
03/20/2018
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