Organization · Type 2 NPI

DCP of Illinois - Crystal Lake

General Practice Dentistry · Crystal Lake, IL

NPI number 1003089251 Active

Practice location

1145 South Route 31, Siute J
Crystal Lake, IL 60039

Call (815) 477-5399 Map

Fax (815) 477-2593

Mailing address

5875 Landerbrook Dr, #250
Mayfield Heights, OH 44124-6511

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: 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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About NPI 1003089251

DCP of Illinois - Crystal Lake's National Provider Identifier is 1003089251, issued on Apr 9, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Crystal Lake, IL. The record was last updated on Sep 20, 2022.