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Advanced Lisle Dental
Preferred Provider Organization in Lisle, Illinois
NPI 1972936334

Advanced Lisle Dental is a Preferred Provider Organization based in Lisle, IL. Advanced Lisle Dental practices in Lisle, IL. The NPI Number for Advanced Lisle Dental is 1972936334 and holds a License No. 019027403 (Illinois).

The current practice location address for Advanced Lisle Dental is 1046 Maple Ave, Lisle, IL and can be reached out via phone at 630-890-6102. You can also correspond with Advanced Lisle Dental through the mailing address at 1046 MAPLE AVE, LISLE, IL - 60532-2329 (mailing address contact number: ).

Location: 1046 Maple Ave, Lisle, IL, 60532-2329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972936334
Provider Name
Advanced Lisle Dental
Credential
Provider Entity Type
Organization
Address
1046 Maple Ave, Lisle, IL, 60532-2329
Phone Number
630-890-6102
Fax Number
Provider Enumeration Date
08/20/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1046 Maple Ave
City
Lisle
State
Illinois
Zip
60532-2329
Phone Number
630-890-6102
Fax Number
person
Provider Business Mailing Address Details
Address
1046 Maple Ave
City
Lisle
State
Illinois
Zip
60532-2329
Phone Number
630-890-6102
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
019027403 (Illinois)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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