Organization
LONG GROVE DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SIMCOX (DIRECTOR - REVENUE CYCLE MANAGEMENT)
(201) 400-1481
Entity
Organization
Contact information
Practice address
4160 IL-83, 102, LONG GROVE, IL 60047
(847) 634-0808
(847) 634-1654
Mailing address
4160 IL-83, 102, LONG GROVE, IL 60047
(847) 634-0808
(847) 634-1654
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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