npidexNPI registry + Medicare data

PROGRESSIVE DENTISTRY LLC

Preferred Provider Organization · LAKE IN THE HILLS, IL

Organization Active NPI 1174900013

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Preferred Provider Organization305R00000X✓019028070IL
Preferred Provider Organization305R00000X019028928IL
Preferred Provider Organization305R00000X019028439IL

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.