NPI 1023428794

Dartmoor Dental Clinic LLC

Organisation General Practice Dentistry Crystal Lake, IL

Practice location

Address: 1500 Carlemont Dr Suite C, Crystal Lake, IL 60014-1833
Phone: (815) 477-2273
Mailing address: 129 S Roselle Rd, Schaumburg, IL 60193-5540

Authorised official

Name: Alan J Acierno
Title: Dentist
Phone: (630) 339-3172

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 19021132 (IL)

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Registry record

NPI: 1023428794
Entity type: Organization
NPI issued: 5 May 2014
Record last updated: 15 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.