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NPI 1184462004 · live from the CMS NPI Registry

Megann Lear, DMD, MSD

Dentist, Orthodontics and Dentofacial Orthopedics in Kenilworth, IL. National Provider Identifier 1184462004, active.

NPI record

NPI1184462004 Type 1 · individual
StatusActive
Primary specialtyDentist, Orthodontics and Dentofacial Orthopedics 1223X0400X
Practice location450 Green Bay Rd, Kenilworth, IL 60043
Practice phone847-251-6228
Mailing address10162 Seagrave Dr, Fishers, IN 46037
EnumeratedJuly 16, 2024
Last updatedJuly 16, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dentist, Orthodontics and Dentofacial Orthopedics primary1223X0400X019.034927 (IL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.