Plainfield Dental, Ltd. | |
15210 S Route 59 Plainfield IL 60544-2682 | |
(815) 436-3399 | |
(815) 436-0916 |
Full Name | Plainfield Dental, Ltd. |
---|---|
Speciality | Dentist - General Practice |
Location | 15210 S Route 59, Plainfield, Illinois |
Authorized Official Name and Position | William Thomas Peck (OWNER) |
Authorized Official Contact | 8154363399 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Plainfield Dental, Ltd. 15210 S Route 59 Plainfield IL 60544-2682 Ph: (815) 436-3399 | Plainfield Dental, Ltd. 15210 S Route 59 Plainfield IL 60544-2682 Ph: (815) 436-3399 |
NPI Number | 1518017045 |
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Provider Enumeration Date | 01/10/2007 |
Last Update Date | 11/09/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518017045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 19020930 (Illinois) | Primary |
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