person
Dr. Brian Andrew Prentice, DDS
General Practice Dentistry in Lockport, Illinois
NPI 1265442073

Brian Andrew Prentice is a General Practice Dentistry based in Lockport, IL and is specialized in General Practice. Brian Andrew Prentice practices in Lockport, IL and has the professional credentials of DDS. The NPI Number for Brian Andrew Prentice is 1265442073 and holds a License No. 019.031399 (Illinois).

The current practice location address for Brian Andrew Prentice is 14831 W 159Th St Ste 1, Lockport, IL and can be reached out via phone at 630-324-5369 and via fax at 815-744-7059.

Location: 14831 W 159Th St Ste 1, Lockport, IL, 60491-9008
person
Provider Profile Details
NPI Number
1265442073
Provider Name
Brian Andrew Prentice
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
14831 W 159Th St Ste 1, Lockport, IL, 60491-9008
Phone Number
630-324-5369
Fax Number
815-744-7059
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1295165439 01 BARRINGTON SVC LOCATION
P01931253 01 RAILROAD PTAN
F400420356 01 MEDICARE PART B PTAN
1760882005 01 SKOKIE SVC LOCATION
1205145554 01 SHOREWOOD SVC LOCATION
1306177241 01 OAKBROOK SVC LOCATION
1508198474 01 CHICAGO SVC LOCATION
F400420355 01 MEDICARE PART B PTAN
institution
Provider Business Practice Location Address Details
Address
14831 W 159Th St Ste 1
City
State
Zip
60491-9008
Phone Number
630-324-5369
Fax Number
815-744-7059
person
Provider Business Mailing Address Details
Address
14831 W 159Th St Ste 1
City
State
Zip
60491-9008
Phone Number
630-324-5369
Fax Number
815-744-7059
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
019.031399 (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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