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Dental Profile 2
General Practice Dentistry in Addison, Illinois
NPI 1477724870

Dental Profile 2 is a General Practice Dentistry based in Addison, IL and is specialized in General Practice. Dental Profile 2 practices in Addison, IL. The NPI Number for Dental Profile 2 is 1477724870 and holds a License No. (Illinois).

The current practice location address for Dental Profile 2 is 120 E Lake St, Addison, IL and can be reached out via phone at 630-530-2498 and via fax at 630-530-2689. You can also correspond with Dental Profile 2 through the mailing address at 120 E LAKE ST, ADDISON, IL - 60101-2821 (mailing address contact number: 630-530-2498).

Location: 120 E Lake St, Addison, IL, 60101-2821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477724870
Provider Name
Dental Profile 2
Credential
Provider Entity Type
Organization
Address
120 E Lake St, Addison, IL, 60101-2821
Phone Number
630-530-2498
Fax Number
630-530-2689
Provider Enumeration Date
03/13/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
120 E Lake St
City
Addison
State
Illinois
Zip
60101-2821
Phone Number
630-530-2498
Fax Number
630-530-2689
person
Provider Business Mailing Address Details
Address
120 E Lake St
City
Addison
State
Illinois
Zip
60101-2821
Phone Number
630-530-2498
Fax Number
630-530-2689
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(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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