14D2195966 CLIA NUMBER - RUSSELL P FITTON III D D S P C

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Laboratory Demographics

CLIA Number: 14D2195966

Facility Name: RUSSELL P FITTON III D D S P C

Facility Address:
820 S NW HWY
BARRINGTON, IL
ZIP 60010
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Facility Phone Number: (847) 381-3927

Facility Type: OTHER PRACTITIONER

Certificate Type: Waiver

NPI Number: 1083651582

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	14D2195966
LAB Type	OTHER PRACTITIONER
Facility Name	RUSSELL P FITTON III D D S P C
Street	820 S NW HWY
City	BARRINGTON
State	IL
ZIP	60010
Phone	(847) 381-3927

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This page was last updated on: 5/11/2023