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NPI Code Detail

MEDICARE: ANGERAME DENTAL ASSOCIATES, PLLC

MEDICARE: ANGERAME DENTAL ASSOCIATES, PLLC
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 Dentistry

General Provider Information

NPI Number : 1689250821
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGERAME DENTAL ASSOCIATES, PLLC
Provider Business Mailing Address
First Line : 124 E PALATINE RD
Second Line :
City : PALATINE
State : IL
Zip : 60067-5110
Country : US
Telephone Number : 847-358-4090
Fax Number :
Provider Business Practice Location Address
First Line : 124 E PALATINE RD
Second Line :
City : PALATINE
State : IL
Zip : 60067-5110
Country : US
Telephone Number : 847-358-4090
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. THOMAS JAMES ANGERAME
Credential : DMD
Telephone Number : 847-358-4090
Provider Enumeration Date : 03/18/2021
Last Update Date : 03/18/2021

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Directions to “ANGERAME DENTAL ASSOCIATES, PLLC ” Practice Location

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