NPI 1780081315

Mint Dentistry LLC

Organisation Preferred Provider Organization Palatine, IL

Practice location

Address: 600 North North Court Suite 260, Palatine, IL 60067
Phone: (630) 339-3172

Authorised official

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

Registered specialties (3)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 019013528 (IL)

Other Preferred Provider Organization providers in Illinois →

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence 019026827 (IL)

Registry record

NPI: 1780081315
Entity type: Organization
NPI issued: 25 Nov 2014
Record last updated: 14 Jan 2015

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.