Providence Family Dental is a Dental Clinic in Elgin, Illinois. It is located at 3091 W. Route 20, #103, Elgin, IL and its contact number is 847-841-1555. The authorized person for Providence Family Dental is Dr. Siri Chanthasalo
who is President of the clinic and their contact number is 847-217-7215. The primary license number for Providence Family Dental is 019.025831 (General Practice) in Illinois. Providence Family 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:
Providence Family Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Providence Family Dental
Specialization:
General Practice Dentistry
Clinic Address:
3091 W. Route 20, #103, Elgin, Illinois, 60124
Phone:
847-841-1555
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:
Dr. Siri Chanthasalo
Position:
President
Contact Number:
847-217-7215
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 Providence Family Dental clinic are as mentioned below.
NPI Number:
1114178183
NPI Enumeration Date:
08 Oct, 2008
NPI Last Update On:
08 Oct, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Family Dental are as mentioned below.
Specialization
License Number
State
Status
General Practice
019.025831
Illinois
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Providence Family Dental 452 Westport Dr, Pingree Grove, Illinois
Zip:
60140-9172
Phone Number:
847-217-7215
Patients can reach Providence Family Dental at 3091 W. Route 20, #103, Elgin, Illinois or can call to book an appointment on 847-841-1555. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.