Barry E. Booth, D.d.s., M.s. | |
12635 W 143rd St Homer Glen IL 60491-8381 | |
(708) 301-0005 | |
(708) 301-0063 |
Full Name | Barry E. Booth, D.d.s., M.s. |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 12635 W 143rd St, Homer Glen, Illinois |
Authorized Official Name and Position | Barry E. Booth (PRESIDENT) |
Authorized Official Contact | 7083010005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Barry E. Booth, D.d.s., M.s. 12635 W 143rd St Homer Glen IL 60491-8381 Ph: (708) 301-0005 | Barry E. Booth, D.d.s., M.s. 12635 W 143rd St Homer Glen IL 60491-8381 Ph: (708) 301-0005 |
NPI Number | 1740329093 |
---|---|
Provider Enumeration Date | 02/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740329093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Illinois) | Primary |
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