Freeport Dental is a Dental Clinic in Freeport, Illinois. This organization is also known as sub part of Shadyoak Dental. It is located at 1450 S West Ave, Freeport, IL and its contact number is 815-656-4060. The authorized person for Freeport Dental is Scott Bares
who is Owner of the clinic and their contact number is 815-656-4060. The primary license number for Freeport Dental is 019027024 (General Practice) in Illinois. Freeport Dental Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Freeport Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Freeport Dental
Specialization:
General Practice Dentistry
Clinic Address:
1450 S West Ave, Freeport, Illinois, 61032-6351
Phone:
815-656-4060
Fax:
815-656-2324
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Scott Bares
Position:
Owner
Contact Number:
815-656-4060
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Freeport Dental clinic are as mentioned below.
NPI Number:
1891165643
Parent Organization:
Shadyoak Dental
NPI Enumeration Date:
05 Oct, 2015
NPI Last Update On:
05 Oct, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Freeport Dental are as mentioned below.
Specialization
License Number
State
Status
General Practice
019027024
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1164580734
Other
General Denistry
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Freeport Dental 1450 S West Ave, Freeport, Illinois
Zip:
61032-6351
Phone Number:
815-656-4060
Fax Number:
815-656-2324
Patients can reach Freeport Dental at 1450 S West Ave, Freeport, Illinois or can call to book an appointment on 815-656-4060. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.