HEARTLAND HEALTH OUTREACH NPI 1447417118

NPI Information

HEARTLAND HEALTH OUTREACH is a general practice dentist in Chicago, IL. The provider is 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. HEARTLAND HEALTH OUTREACH NPI is 1447417118. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Spang Dental Center West.

The provider's business location address is:

2418 W DIVISION ST
CHICAGO, IL
ZIP 60622-940
Phone: (773) 252-6413
Fax: (773) 252-6417

The provider's authorized official is Heidi Nelson .
The authorized official title is Controller and has the following contact phone number (773) 751-4107.

The enumeration date for this NPI number is 5/20/2008 and was last updated on 5/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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