| Advanced Family Dental & Orthodontics Of Mt. Olive, P.c. | |
|
312 W Main St Mount Olive IL 62069-1640 | |
| (217) 999-6211 | |
| Not Available |
| Full Name | Advanced Family Dental & Orthodontics Of Mt. Olive, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 312 W Main St, Mount Olive, Illinois |
| Authorized Official Name and Position | David Rubis (PRESIDENT) |
| Authorized Official Contact | 8157411700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Dental & Orthodontics Of Mt. Olive, P.c. 312 W Main St Mount Olive IL 62069-1640 Ph: (217) 999-6211 | Advanced Family Dental & Orthodontics Of Mt. Olive, P.c. 312 W Main St Mount Olive IL 62069-1640 Ph: (217) 999-6211 |
| NPI Number | 1639588833 |
|---|---|
| Provider Enumeration Date | 08/13/2014 |
| Last Update Date | 03/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639588833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019016447 (Illinois) | Primary |