Organization · Type 2 NPI
Madison Street Dental LLC
Dental Clinic/Center · Woodstock, IL
NPI number
1497260152
Active
Practice location
210 N Madison St
Woodstock, IL 60098-3450
Mailing address
1699 E Woodfield Rd Ste 102
Schaumburg, IL 60173-4955
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 019015666 (IL) |
| Dental Clinic/Center | 261QD0000X | 019018403 (IL) |
Dental Clinic/Center: Definition to come...
3 other providers at this address
Other dental clinic/center providers in Woodstock
About NPI 1497260152
Madison Street Dental LLC's National Provider Identifier is 1497260152, issued on Dec 4, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Woodstock, IL. The record was last updated on Dec 4, 2017.