| Restoration Dental Llc - Charleston Family Dental | |
|
903 18th St Charleston IL 61920-2938 | |
| (217) 348-7770 | |
| (217) 348-9279 |
| Full Name | Restoration Dental Llc - Charleston Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 903 18th St, Charleston, 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 - Charleston Family Dental 903 18th St. Charleston IL 61920 Ph: (217) 348-7770 | Restoration Dental Llc - Charleston Family Dental 903 18th St Charleston IL 61920-2938 Ph: (217) 348-7770 |
| NPI Number | 1780957092 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 10/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780957092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dental Professionals Of Illinois, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 826 W Lincoln Avenue, Suite A, Charleston, IL 61920 Phone: 217-345-1315 Fax: 217-345-1291 | |
Heartland Family Dental Care Of Illinois, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 826 W Lincoln, Suite B, Charleston, IL 61920 Phone: 217-345-5250 Fax: 217-345-5390 |