Graceland Prairie Dental
Graceland Prairie Dental provides General Practice Dentistry in Des Plaines, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
685 Graceland AveDes Plaines, IL 60016-4518 Not confirmed with CMS for 14 years — call before visiting
Phone: (847) 824-3536
Fax: (847) 824-2783
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 019017115 (IL) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 019020748 (IL) |
Record details
| NPI number | 1134494727 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joseph Barry — Owner · (847) 824-3536 |
| NPI enumerated | March 14, 2012 |
| Last updated in NPPES | March 14, 2012 |
| Mailing address | 685 Graceland Ave, Des Plaines, IL 60016-4518 |
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