| Dennis K Stoller Dds Ltd | |
|
1608 Broadway Rd Pekin IL 61554-3806 | |
| (309) 346-4446 | |
| (309) 353-2267 |
| Full Name | Dennis K Stoller Dds Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1608 Broadway Rd, Pekin, Illinois |
| Authorized Official Name and Position | Todd Alan Stoller (PRESIDENT) |
| Authorized Official Contact | 3093464446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis K Stoller Dds Ltd 1608 Broadway Rd Pekin IL 61554-3806 Ph: (309) 346-4446 | Dennis K Stoller Dds Ltd 1608 Broadway Rd Pekin IL 61554-3806 Ph: (309) 346-4446 |
| NPI Number | 1730399403 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730399403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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Michael D. Danner, D.d.s., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1426 Valle Vista Blvd, Pekin, IL 61554 Phone: 309-346-2145 Fax: 309-346-6330 | |
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