| Dental Professionals Of Illinois, P.c. | |
|
1111 East Walnut Street Carbondale IL 62901 | |
| (618) 529-2471 | |
| (618) 529-2482 |
| Full Name | Dental Professionals Of Illinois, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1111 East Walnut Street, Carbondale, Illinois |
| Authorized Official Name and Position | Richard Workman (OWNER/PC PRESENDT) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Of Illinois, P.c. 1111 E Walnut Ste A1 Carbondale IL 62901 Ph: (618) 529-2471 | Dental Professionals Of Illinois, P.c. 1111 East Walnut Street Carbondale IL 62901 Ph: (618) 529-2471 |
| NPI Number | 1184737363 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 08/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184737363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-015765 (Illinois) | Primary |
Lifetime Dental Care Of Illinois, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 E Main, Carbondale, IL 62901 Phone: 618-549-2273 Fax: 618-351-0212 | |
Southern Illinois University Carbondale Dental Sealant Program Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1365 Douglas Dr Rm 18, Casa, Sah, Mc 6615, Carbondale, IL 62901 Phone: 618-453-7211 Fax: 618-453-7020 | |
Shawnee Health Service And Development Corp Dental Clinic Medicare: Medicare Enrolled Practice Location: 400 S Lewis Ln, Carbondale, IL 62901 Phone: 618-519-9900 Fax: 618-519-9961 | |
Oakland Dental Care P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 S Oakland Ave, Carbondale, IL 62901 Phone: 618-549-2166 Fax: 618-529-4128 | |
Shawnee Health Service & Development Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 402 S. Lewis Lane, Carbondale, IL 62901 Phone: 618-519-9901 | |
Billy B. Laun Ii, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 E Walnut St Ste B, Carbondale, IL 62901 Phone: 618-529-2571 Fax: 618-529-2572 |