| Carrollton Family Dental | |
|
603 5th St Carrollton IL 62016-1401 | |
| (217) 942-5033 | |
| (217) 942-9503 |
| Full Name | Carrollton Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 603 5th St, Carrollton, Illinois |
| Authorized Official Name and Position | Stacy Sue Cox (OFFICE MANAGER) |
| Authorized Official Contact | 6185200127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrollton Family Dental 603 5th St Carrollton IL 62016-1401 Ph: (217) 942-5033 | Carrollton Family Dental 603 5th St Carrollton IL 62016-1401 Ph: (217) 942-5033 |
| NPI Number | 1952154288 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952154288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |