| Doyle Orthodontics | |
|
107 N Main St Suite 2b Columbia IL 62236-1757 | |
| (618) 281-5896 | |
| Not Available |
| Full Name | Doyle Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 107 N Main St, Columbia, Illinois |
| Authorized Official Name and Position | Renee Elizabeth Doyle (ORTHODONTIST) |
| Authorized Official Contact | 6182815896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doyle Orthodontics 107 N Main St Suite 2b Columbia IL 62236-1757 Ph: (618) 281-5896 | Doyle Orthodontics 107 N Main St Suite 2b Columbia IL 62236-1757 Ph: (618) 281-5896 |
| NPI Number | 1164848644 |
|---|---|
| Provider Enumeration Date | 03/08/2014 |
| Last Update Date | 03/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164848644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 019028322 (Illinois) | Primary |
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