| Connection Dental | |
|
2661 W Stephenson St Freeport IL 61032-4502 | |
| (563) 582-1448 | |
| Not Available |
| Full Name | Connection Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2661 W Stephenson St, Freeport, Illinois |
| Authorized Official Name and Position | Sharon L Loso (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5635821448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connection Dental 40 Main St Ste 100 Dubuque IA 52001-7654 Ph: (563) 582-1448 | Connection Dental 2661 W Stephenson St Freeport IL 61032-4502 Ph: (563) 582-1448 |
| NPI Number | 1982183943 |
|---|---|
| Provider Enumeration Date | 08/10/2018 |
| Last Update Date | 07/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982183943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Secondary |
| 1223G0001X | Dentist - General Practice | () | Primary |
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