| Aspen Dental | |
|
2661 S Veterans Pkwy Springfield IL 62704-6401 | |
| (217) 793-2400 | |
| (217) 726-7542 |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2661 S Veterans Pkwy, Springfield, Illinois |
| Authorized Official Name and Position | Alok Gupta (OWNER) |
| Authorized Official Contact | 2177932400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Po Box 3189 Syracuse NY 13220-3189 Ph: (866) 273-8204 | Aspen Dental 2661 S Veterans Pkwy Springfield IL 62704-6401 Ph: (217) 793-2400 |
| NPI Number | 1134408784 |
|---|---|
| Provider Enumeration Date | 08/15/2011 |
| Last Update Date | 08/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134408784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019028320 (Illinois) | Primary |
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