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NPI Code Detail

MEDICARE: JANICE MCCANTS DDS

MEDICARE:   JANICE  MCCANTS  DDS
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
1122300000XDentist01925087IL

General Provider Information

NPI Number : 1447388020
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE MCCANTS DDS
Provider Business Mailing Address
First Line : 1839 W 107TH STREET
Second Line :
City : CHICAGO
State : IL
Zip : 60643
Country : US
Telephone Number : 773-445-8930
Fax Number :
Provider Business Practice Location Address
First Line : 1839 W 107TH STREET
Second Line :
City : CHICAGO
State : IL
Zip : 60643
Country : US
Telephone Number : 773-445-8930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 07/08/2007

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Directions to “ JANICE MCCANTS DDS” Practice Location

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