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Periodontal Implant Specialists
Periodontist in Oakbrook Terrace, Illinois
NPI 1942455795

Periodontal Implant Specialists is a Periodontist based in Oakbrook Terrace, IL and is specialized in Periodontics. Periodontal Implant Specialists practices in Oakbrook Terrace, IL. The NPI Number for Periodontal Implant Specialists is 1942455795 and holds a License No. 021001976 (Illinois).

The current practice location address for Periodontal Implant Specialists is 17W622 Butterfield Rd, Oakbrook Terrace, IL and can be reached out via phone at 630-424-9404.

Location: 17W622 Butterfield Rd, Oakbrook Terrace, IL, 60181-4037
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942455795
Provider Name
Periodontal Implant Specialists
Credential
Provider Entity Type
Organization
Address
17W622 Butterfield Rd, Oakbrook Terrace, IL, 60181-4037
Phone Number
630-424-9404
Fax Number
Provider Enumeration Date
11/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01902446 01 IL PERIODONTAL SPECIALIST
institution
Provider Business Practice Location Address Details
Address
17W622 Butterfield Rd
City
Oakbrook Terrace
State
Illinois
Zip
60181-4037
Phone Number
630-424-9404
Fax Number
person
Provider Business Mailing Address Details
Address
17W622 Butterfield Rd
City
Oakbrook Terrace
State
Illinois
Zip
60181-4037
Phone Number
630-424-9404
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
021001976 (Illinois)
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.
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