| Bernardi & Groesch DDS Ltd | |
|
2534 Farragut Drive Springfield IL 62704 | |
| (217) 546-4674 | |
| (217) 546-4659 |
| Full Name | Bernardi & Groesch DDS Ltd |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2534 Farragut Drive, Springfield, Illinois |
| Authorized Official Name and Position | Charles William Groesch (PRESIDENT) |
| Authorized Official Contact | 2175464674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bernardi & Groesch DDS Ltd 2534 Farragut Drive Springfield IL 62704 Ph: (217) 546-4674 | Bernardi & Groesch DDS Ltd 2534 Farragut Drive Springfield IL 62704 Ph: (217) 546-4674 |
| NPI Number | 1285712653 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285712653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Illinois) | Primary |
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