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Hamilton Lakes Dentistry Group, Pllc
General Practice Dentistry in Itasca, Illinois
NPI 1164181772

Hamilton Lakes Dentistry Group, Pllc is a General Practice Dentistry based in Itasca, IL and is specialized in General Practice. Hamilton Lakes Dentistry Group, Pllc practices in Itasca, IL. The NPI Number for Hamilton Lakes Dentistry Group, Pllc is 1164181772 and holds a License No. (Illinois).

The current practice location address for Hamilton Lakes Dentistry Group, Pllc is 500 Park Blvd Ste 180C, Itasca, IL and can be reached out via phone at 630-773-6966.

Location: 500 Park Blvd Ste 180C, Itasca, IL, 60143-3121
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164181772
Provider Name
Hamilton Lakes Dentistry Group, Pllc
Credential
Provider Entity Type
Organization
Address
500 Park Blvd Ste 180C, Itasca, IL, 60143-3121
Phone Number
630-773-6966
Fax Number
Provider Enumeration Date
12/10/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417000704 01 IL NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM
1598147324 01 IL NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM
1225385701 01 IL NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM
institution
Provider Business Practice Location Address Details
Address
500 Park Blvd Ste 180C
City
Itasca
State
Illinois
Zip
60143-3121
Phone Number
630-773-6966
Fax Number
person
Provider Business Mailing Address Details
Address
500 Park Blvd Ste 180C
City
Itasca
State
Illinois
Zip
60143-3121
Phone Number
630-773-6966
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
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Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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