| Df Roberson & Wj Stapleton Dds, Ltd | |
|
1075 Harrison St Wood River IL 62095-1867 | |
| (618) 259-5200 | |
| (618) 259-3181 |
| Full Name | Df Roberson & Wj Stapleton Dds, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1075 Harrison St, Wood River, Illinois |
| Authorized Official Name and Position | Linda D Fitzgerald (OFFICE MANAGER) |
| Authorized Official Contact | 6182595200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Df Roberson & Wj Stapleton Dds, Ltd 1075 Harrison St Wood River IL 62095-1867 Ph: (618) 259-5200 | Df Roberson & Wj Stapleton Dds, Ltd 1075 Harrison St Wood River IL 62095-1867 Ph: (618) 259-5200 |
| NPI Number | 1821183666 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 07/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821183666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019012551 (Illinois) | Primary |
Wood River Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1075 Harrison St, Wood River, IL 62095 Phone: 618-259-5200 | |
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