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The Loose Tooth Pediatric Dentistry
Pediatric Dentist in Plainfield, Illinois
NPI 1023430360

The Loose Tooth Pediatric Dentistry is a Pediatric Dentist based in Plainfield, IL and is specialized in Pediatric Dentistry. The Loose Tooth Pediatric Dentistry practices in Plainfield, IL. The NPI Number for The Loose Tooth Pediatric Dentistry is 1023430360 and holds a License No. 019027249 (Illinois).

The current practice location address for The Loose Tooth Pediatric Dentistry is 15041 S Van Dyke Rd, Plainfield, IL and can be reached out via phone at 815-267-7299.

Location: 15041 S Van Dyke Rd, Plainfield, IL, 60544-5805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023430360
Provider Name
The Loose Tooth Pediatric Dentistry
Credential
Provider Entity Type
Organization
Address
15041 S Van Dyke Rd, Plainfield, IL, 60544-5805
Phone Number
815-267-7299
Fax Number
Provider Enumeration Date
01/06/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15041 S Van Dyke Rd
City
Plainfield
State
Illinois
Zip
60544-5805
Phone Number
815-267-7299
Fax Number
person
Provider Business Mailing Address Details
Address
15041 S Van Dyke Rd
City
Plainfield
State
Illinois
Zip
60544-5805
Phone Number
815-267-7299
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
019027249 (Illinois)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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