Organization
ILLINOIS DENTAL PROFESSIONALS PC
Active
Parent organization
HEARTLAND DENTAL
Other names
Dr. Jay Bergamini & Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
405 S MAIN ST, NAPERVILLE, IL 60540-5322
(630) 357-7273
Mailing address
405 S MAIN ST, NAPERVILLE, IL 60540-5322
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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