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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRAIRIE AVENUE DENTAL ASSOCIATES, INC.

Active Organization

PRAIRIE AVENUE DENTAL ASSOCIATES, INC. is a General Dentistry organization located in HEBRON, Illinois. NPI 1245428234 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · HEBRON, IL

Registration Details

NPI Number
1245428234
Provider Type
Organization
NPI Issued
Oct 4, 2007 (18.876010744554 yrs)
Last Updated
Oct 4, 2007

Practice Information

Address
12016 PRAIRIE AVE
POST OFFICE BOX 75
HEBRON, IL, 600348892
Browse IL providers · Browse ZIP 60034
Phone
8156484095
Fax
8156482881
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.