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NPI Code Detail

MEDICARE: DENTAL EXPERTS, LLC

MEDICARE: DENTAL EXPERTS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry019024846IL

General Provider Information

NPI Number : 1245487792
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENTAL EXPERTS, LLC
Provider Business Mailing Address
First Line : 2821 GRAND AVE
Second Line :
City : WAUKEGAN
State : IL
Zip : 60085-2372
Country : US
Telephone Number : 847-662-4400
Fax Number :
Provider Business Practice Location Address
First Line : 2821 GRAND AVE
Second Line :
City : WAUKEGAN
State : IL
Zip : 60085-2372
Country : US
Telephone Number : 847-662-4400
Fax Number :
Authorized Official
Title or Position : OWNER / DENTIST
Name : SAMEERA HUSSAIN
Credential : DMD
Telephone Number : 847-662-4400
Provider Enumeration Date : 08/26/2008
Last Update Date : 08/26/2008

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Directions to “DENTAL EXPERTS, LLC ” Practice Location

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