Organization · Type 2 NPI

The Tooth Repair Shoppe, Ltd.

General Practice Dentistry · Wheaton, IL

NPI number 1669529145 Active

Practice location

610 W Roosevelt Rd, Suite A1
Wheaton, IL 60187-5087

Fax (630) 682-1428

Mailing address

610 W. Roosevelt Road, Suite A1
Wheaton, IL 60187

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X060008257 (IL)

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.

14 other providers at this address

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About NPI 1669529145

The Tooth Repair Shoppe, Ltd.'s National Provider Identifier is 1669529145, issued on Jan 5, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Wheaton, IL. The record was last updated on Jun 20, 2008.