| Bushnell Family Dentistry | |
|
525 E Water St Bushnell IL 61422-1764 | |
| (309) 772-2124 | |
| Not Available |
| Full Name | Bushnell Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 525 E Water St, Bushnell, Illinois |
| Authorized Official Name and Position | Cynthia Paige Mccord (OWNER) |
| Authorized Official Contact | 3097722124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bushnell Family Dentistry 525 E Water St Bushnell IL 61422-1764 Ph: (309) 772-2124 | Bushnell Family Dentistry 525 E Water St Bushnell IL 61422-1764 Ph: (309) 772-2124 |
| NPI Number | 1487919866 |
|---|---|
| Provider Enumeration Date | 07/11/2012 |
| Last Update Date | 07/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487919866 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019-028904 (Illinois) | Primary |
| 124Q00000X | Dental Hygienist | 020-010827 (Illinois) | Secondary |
Bushnell Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 E Water St, Bushnell, IL 61422 Phone: 309-772-2124 |