| Restoration Dental Llc-casey Family Dental | |
|
1400 E Main St Casey IL 62420-2106 | |
| (217) 932-5266 | |
| (217) 932-2268 |
| Full Name | Restoration Dental Llc-casey Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1400 E Main St, Casey, Illinois |
| Authorized Official Name and Position | Jamie Vilk (OPERATIONS MANAGER) |
| Authorized Official Contact | 2173487770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Dental Llc-casey Family Dental 903 18th St. Charleston IL 61920 Ph: (217) 932-5266 | Restoration Dental Llc-casey Family Dental 1400 E Main St Casey IL 62420-2106 Ph: (217) 932-5266 |
| NPI Number | 1053684365 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 10/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053684365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |