Allcare Dental & Dentures of Il PC

Organization Active NPI General Practice Dentistry · Bradley, IL

NPI 1033380449 · NPPES record last updated Mar 13, 2008

Key facts

NPI
1033380449
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
ALLCARE DENTAL & DENTURES OF IL PC
Practice address
840 N Kinzie Ave
Suite B
Bradley, IL 60915-1231
Phone
(815) 936-9941
Fax
(815) 936-6161
NPI assigned
Mar 13, 2008
Organization subpart
Yes
Parent organization (as reported)
ALLCARE DENTAL & DENTURES OF IL PC

Authorized official

Name
Dr. Robert S Bates, DDS
Title
President
Phone
(716) 622-1563

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Allcare Dental Dentures of Il PC (2 organizations share this tax ID)
Part of
Allcare Dental Dentures of Il PC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

840 N Kinzie Ave
Suite B
Bradley, IL 60915-1231

Mailing address

PO Box 369
Clarence, NY 14031-0369
Phone (716) 204-4999

Other providers in Bradley, IL

All providers in Bradley, IL · General Practice Dentistry in Illinois

Sources for this page

Verify at the official NPI Registry.