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

WHEATON PRAIRIE DENTAL LLC

Active Organization

WHEATON PRAIRIE DENTAL LLC is a Preferred Provider Organization organization located in WHEATON, Illinois. NPI 1619322773 is currently active in the NPPES registry. Verify at CMS.

Preferred Provider Organization · WHEATON, IL

Registration Details

NPI Number
1619322773
Provider Type
Organization
NPI Issued
Apr 26, 2016 (10.320444080676 yrs)
Last Updated
Apr 26, 2016
Licenses
019029436 (IL)
019015107 (IL)

Practice Information

Address
610 W ROOSEVELT RD
SUITE A1
WHEATON, IL, 601875087
Browse IL providers · Browse ZIP 60187
Phone
6303393172
Primary Specialty
Preferred Provider Organization
305R00000X

Other Preferred Provider Organization Organizations in WHEATON, IL

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.