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Maple Shade Dental Group
Oral and Maxillofacial Surgery (Dentist) in Dunlap, Illinois
NPI 1427116854

Maple Shade Dental Group is a Oral and Maxillofacial Surgery (Dentist) based in Dunlap, IL and is specialized in Oral and Maxillofacial Surgery. Maple Shade Dental Group practices in Dunlap, IL. The NPI Number for Maple Shade Dental Group is 1427116854 and holds a License No. (Illinois).

The current practice location address for Maple Shade Dental Group is 11825 N Knoxville Ave, Dunlap, IL and can be reached out via phone at 309-243-7702 and via fax at 309-243-9559.

Location: 11825 N Knoxville Ave, Dunlap, IL, 61525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427116854
Provider Name
Maple Shade Dental Group
Credential
Provider Entity Type
Organization
Address
11825 N Knoxville Ave, Dunlap, IL, 61525
Phone Number
309-243-7702
Fax Number
309-243-9559
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
11825 N Knoxville Ave
City
Dunlap
State
Illinois
Zip
61525
Phone Number
309-243-7702
Fax Number
309-243-9559
person
Provider Business Mailing Address Details
Address
11825 N Knoxville Ave
City
Dunlap
State
Illinois
Zip
61525
Phone Number
309-243-7702
Fax Number
309-243-9559
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
()
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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