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Brent Danielson, DDS
General Practice Dentistry in La Grange, Illinois
NPI 1174848576

Brent Danielson is a General Practice Dentistry based in La Grange, IL and is specialized in General Practice. Brent Danielson practices in La Grange, IL and has the professional credentials of DDS. The NPI Number for Brent Danielson is 1174848576 and holds a License No. 019-015421 (Illinois).

The current practice location address for Brent Danielson is 1400 W 47Th St, La Grange, IL and can be reached out via phone at 708-482-4420.

Location: 1400 W 47Th St, La Grange, IL, 60525-6141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174848576
Provider Name
Brent Danielson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1400 W 47Th St, La Grange, IL, 60525-6141
Phone Number
708-482-4420
Fax Number
Provider Enumeration Date
03/29/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 W 47Th St
City
La Grange
State
Illinois
Zip
60525-6141
Phone Number
708-482-4420
Fax Number
person
Provider Business Mailing Address Details
Address
1400 W 47Th St
City
La Grange
State
Illinois
Zip
60525-6141
Phone Number
708-482-4420
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019-015421 (Illinois)
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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