| Dawn A Jackson-breeden Dmd Ltd | |
|
405 E Park St Benton IL 62812-1971 | |
| (618) 439-4391 | |
| Not Available |
| Full Name | Dawn A Jackson-breeden Dmd Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 405 E Park St, Benton, Illinois |
| Authorized Official Name and Position | Dawn Jackson-breeden (PRESIDENT) |
| Authorized Official Contact | 6184394391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn A Jackson-breeden Dmd Ltd 300 Arbor Dr Carterville IL 62918-1042 Ph: (618) 439-4391 | Dawn A Jackson-breeden Dmd Ltd 405 E Park St Benton IL 62812-1971 Ph: (618) 439-4391 |
| NPI Number | 1649492059 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649492059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
Kyle R Childers Dmd Ms Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 W Washington St, Benton, IL 62812 Phone: 618-438-2815 Fax: 618-439-6127 |