Unknown Individual – General Practice Dentistry, NPI 1295725000
General Practice Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
8218, Kedvale Avenue, Skokie, Niles Township, Cook County, Illinois, 60076, United States
SKOKIE, IL 600762740
Phone: (847) 679-0413
Type: Mailing
Broadway Street, Indiana Harbor, East Chicago, Lake County, Indiana, 46312, United States
SUITE 229
CHICAGO, IL 606405642
Phone: (773) 728-6149
Type: Location
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)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60076)
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