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Thomas L. Prendergast, Dds, Pc
General Practice Dentistry in Fox Lake, Illinois
NPI 1639438765

Thomas L. Prendergast, Dds, Pc is a General Practice Dentistry based in Fox Lake, IL and is specialized in General Practice. Thomas L. Prendergast, Dds, Pc practices in Fox Lake, IL. The NPI Number for Thomas L. Prendergast, Dds, Pc is 1639438765 and holds a License No. 019-022387 (Illinois).

The current practice location address for Thomas L. Prendergast, Dds, Pc is 1394 S Route 12, Fox Lake, IL and can be reached out via phone at 847-587-5053.

Location: 1394 S Route 12, Fox Lake, IL, 60020-1949
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639438765
Provider Name
Thomas L. Prendergast, Dds, Pc
Credential
Provider Entity Type
Organization
Address
1394 S Route 12, Fox Lake, IL, 60020-1949
Phone Number
847-587-5053
Fax Number
Provider Enumeration Date
05/09/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1394 S Route 12
City
Fox Lake
State
Illinois
Zip
60020-1949
Phone Number
847-587-5053
Fax Number
person
Provider Business Mailing Address Details
Address
1394 S Route 12
City
Fox Lake
State
Illinois
Zip
60020-1949
Phone Number
847-587-5053
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019-022387 (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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