| Effingham Family Dental Ltd | |
|
310 W Jefferson Ave Effingham IL 62401-2348 | |
| (217) 342-3850 | |
| (217) 342-3891 |
| Full Name | Effingham Family Dental Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 310 W Jefferson Ave, Effingham, Illinois |
| Authorized Official Name and Position | Jeffrey Roger Stevenson (DENTIST) |
| Authorized Official Contact | 2173423850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Effingham Family Dental Ltd 310 W Jefferson Ave Effingham IL 62401-2348 Ph: (217) 342-3850 | Effingham Family Dental Ltd 310 W Jefferson Ave Effingham IL 62401-2348 Ph: (217) 342-3850 |
| NPI Number | 1588100325 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 01/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588100325 | NPI | - | NPPES |
| 1437378098 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019023431 (Illinois) | Primary |
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