The Loose Tooth Pediatric Dentistry
The Loose Tooth Pediatric Dentistry provides Pediatric Dentistry in Plainfield, Illinois. Licensed in Illinois. Registered with an NPI since 2014.
- Licensed in
- IL
- In the registry since
- 2014
Practice location Address checks out
15041 S Van Dyke Rd Ste 105Plainfield, IL 60544-5805 Not confirmed with CMS for 11 years — call before visiting
Phone: (815) 267-7299
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
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 019027249 (IL) |
|---|
Record details
| NPI number | 1023430360 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rhiannon Holcombe — Pediatric Dentist · (815) 267-7299 |
| NPI enumerated | January 6, 2014 |
| Last updated in NPPES | March 24, 2015 |
| Mailing address | 15041 S Van Dyke Rd, Suite 105, Plainfield, IL 60544-5805 |