Wheaton Dental Center, LTD

Organization Active NPI General Practice Dentistry · Wheaton, IL

NPI 1457558058 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1457558058
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
WHEATON DENTAL CENTER, LTD
Practice address
101 E Cole Ave
Wheaton, IL 60187-3105
Phone
(630) 668-0100
Fax
(630) 668-4873
NPI assigned
Jun 28, 2007
Organization subpart
No

Authorized official

Name
Dr. Edmund V Padleckas, DDS
Title
VP
Phone
(630) 668-0100

Practitioners 1

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

National Provider Directory

Locations

101 E Cole Ave
Wheaton, IL 60187
Phone (630) 668-0100

Specialties & licenses

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

Addresses

Primary practice location

101 E Cole Ave
Wheaton, IL 60187-3105

Mailing address

101 E Cole Ave
Wheaton, IL 60187-3105
Phone (630) 668-0100

Other providers in Wheaton, IL

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

Sources for this page

Verify at the official NPI Registry.