Prairie Avenue Dental Associates, Inc
Prairie Avenue Dental Associates, Inc provides General Practice Dentistry in Hebron, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12016 Prairie Ave Post Ofc Box 75Hebron, IL 60034-8892 Not confirmed with CMS for 19 years — call before visiting
Phone: (815) 648-4095
Fax: (815) 648-2881
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 (IL) |
|---|
Record details
| NPI number | 1245428234 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Renee E. Schultz Dietz |
| Authorized official | Renee Dietz — Owner · (815) 648-4095 |
| Other names | Renee Schultz Dietz |
| NPI enumerated | October 4, 2007 |
| Last updated in NPPES | October 4, 2007 |
| Mailing address | 12016 Prairie Ave, Post Office Box 75, Hebron, IL 60034-8892 |
Other providers in Hebron
-
Dr. John Raymond Kaminski, DDS
12016 Prairie Ave, Hebron, IL 60034-8892 · (815) 648-4095
-
Dr. Renee Schultz-Dietz, DMD
12016 Prairie Ave, Hebron, IL 60034-8892 · (815) 648-4095