Organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Other names
Family Dental Care of Sycamore
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Authorized official
LINDSAY BEARDEN (INSURANCE/CREDENTIALING)
(217) 540-5100
Entity
Organization
Contact information
Practice address
1840 DEKALB AVE, SUITE B, SYCAMORE, IL 60178
(815) 895-4625
(815) 895-4621
Mailing address
1840 DEKALB AVE, SUITE B, SYCAMORE, IL 60178
(815) 895-4625
(815) 895-4621
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/06/2008
Last updated
01/07/2014
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