Unknown Individual – General Practice Dentistry, NPI 1205827276
General Practice Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
816, South Oak Park Avenue, Southtown, Oak Park, Cook County, Illinois, 60304, United States
OAK PARK, IL 603041238
Phone: (708) 386-3841
Fax: (708) 848-7587
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60304)
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