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

MAIN STREET DENTISTRY LLC

Active Organization

MAIN STREET DENTISTRY LLC is a Preferred Provider Organization organization located in BOURBONNAIS, Illinois. NPI 1316321524 is currently active in the NPPES registry. Verify at CMS.

Preferred Provider Organization · BOURBONNAIS, IL

Registration Details

NPI Number
1316321524
Provider Type
Organization
NPI Issued
Jul 17, 2015 (11.094165304635 yrs)
Last Updated
Sep 15, 2015

Practice Information

Address
801 MAIN STREET NW
BOURBONNAIS, IL, 60914
Browse IL providers · Browse ZIP 60914
Phone
8159323516
Primary Specialty
Preferred Provider Organization
305R00000X

Other Preferred Provider Organization Organizations in BOURBONNAIS, IL

Name NPI
590 DENTAL CARE LLC 1326400078
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.