| Grand View Dental Arts, Llc | |
|
201 S Main St Edwardsville IL 62025-1921 | |
| (618) 656-4202 | |
| (618) 656-6580 |
| Full Name | Grand View Dental Arts, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 201 S Main St, Edwardsville, Illinois |
| Authorized Official Name and Position | Charles Seymour Borden (OWNER) |
| Authorized Official Contact | 6186564202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand View Dental Arts, Llc 201 S Main St Edwardsville IL 62025-1921 Ph: (618) 656-4202 | Grand View Dental Arts, Llc 201 S Main St Edwardsville IL 62025-1921 Ph: (618) 656-4202 |
| NPI Number | 1033631882 |
|---|---|
| Provider Enumeration Date | 07/13/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033631882 | NPI | - | NPPES |
| 1649322561 | Other | IL | GENERAL DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019024683 (Illinois) | Primary |
Arch View Family Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2133 S State Route 157, Edwardsville, IL 62025 Phone: 618-656-2006 Fax: 618-656-2066 | |
Katharine Mcginnis D.m.d. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 235a S Main St, Edwardsville, IL 62025 Phone: 618-656-0451 Fax: 618-656-9031 | |
Edwardsville Family Dentist Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1811 Lindenwood Ave, Edwardsville, IL 62025 Phone: 618-659-0456 | |
Katharine Mcginnis D.m.d. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 A. South Main St, Edwardsville, IL 62025 Phone: 618-656-0451 Fax: 618-656-9130 | |
Steven J Hyten Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Plummer Dr, Suite A, Edwardsville, IL 62025 Phone: 618-656-3100 Fax: 618-656-3146 | |
Kenneth C Hyten & David W Hyten Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2110 Troy Rd, Suite A, Edwardsville, IL 62025 Phone: 618-656-1914 Fax: 618-656-2053 |