Organization
BOOTH ORTHODONTICS OF HOMER GLEN LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BOOTH D.D.S., M.S. (PARTNER)
(708) 214-2017
Entity
Organization
Contact information
Practice address
12635 W 143RD ST, HOMER GLEN, IL 60491-8381
(708) 301-0005
Mailing address
12635 W 143RD ST, HOMER GLEN, IL 60491-8381
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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