Performance Dental Care

Organization Active NPI General Practice Dentistry · Flossmoor, IL

NPI 1457522591 · NPPES record last updated Nov 18, 2008

Key facts

NPI
1457522591
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
PERFORMANCE DENTAL CARE
Practice address
19509 Governors Hwy
Flossmoor, IL 60422-2097
Phone
(708) 798-8787
NPI assigned
Mar 17, 2008
Organization subpart
No

Authorized official

Name
Mrs. Debra Bafia
Title
Business Manager
Phone
(708) 599-8400

National Provider Directory

Specialties & licenses

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

Addresses

Primary practice location

19509 Governors Hwy
Flossmoor, IL 60422-2097

Mailing address

19509 Governors Hwy
Flossmoor, IL 60422-2097
Phone (708) 798-8787

Other names

  • 7-7 Dental of Flossmoor Doing business as

Other providers in Flossmoor, IL

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

Sources for this page

Verify at the official NPI Registry.