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The Tooth Repair Shoppe, Ltd.
General Practice Dentistry in Wheaton, Illinois
NPI 1669529145

The Tooth Repair Shoppe, Ltd. is a General Practice Dentistry based in Wheaton, IL and is specialized in General Practice. The Tooth Repair Shoppe, Ltd. practices in Wheaton, IL. The NPI Number for The Tooth Repair Shoppe, Ltd. is 1669529145 and holds a License No. 060008257 (Illinois).

The current practice location address for The Tooth Repair Shoppe, Ltd. is 610 W Roosevelt Rd, Wheaton, IL and can be reached out via phone at 630-682-0844 and via fax at 630-682-1428. You can also correspond with The Tooth Repair Shoppe, Ltd. through the mailing address at 610 W. ROOSEVELT ROAD, WHEATON, IL - 60187 (mailing address contact number: 630-682-0844).

Location: 610 W Roosevelt Rd, Wheaton, IL, 60187
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669529145
Provider Name
The Tooth Repair Shoppe, Ltd.
Credential
Provider Entity Type
Organization
Address
610 W Roosevelt Rd, Wheaton, IL, 60187
Phone Number
630-682-0844
Fax Number
630-682-1428
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
610 W Roosevelt Rd
City
Wheaton
State
Illinois
Zip
60187-5087
Phone Number
630-682-0844
Fax Number
630-682-1428
person
Provider Business Mailing Address Details
Address
610 W Roosevelt Rd
City
Wheaton
State
Illinois
Zip
60187-5087
Phone Number
630-682-0844
Fax Number
630-682-1428
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
060008257 (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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