| Ethan Grounds DMD PC | |
|
300 Small St Ste D Harrisburg IL 62946-3325 | |
| (618) 252-1725 | |
| Not Available |
| Full Name | Ethan Grounds DMD PC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 300 Small St Ste D, Harrisburg, Illinois |
| Authorized Official Name and Position | Ethan Grounds (DR.) |
| Authorized Official Contact | 6188890606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Grounds DMD PC 910 Marshall Street Harrisburg IL 62946 Ph: (618) 889-0606 | Ethan Grounds DMD PC 300 Small St Ste D Harrisburg IL 62946-3325 Ph: (618) 252-1725 |
| NPI Number | 1073382099 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 01/02/2024 |
| Certification Date | 12/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073382099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
Dr. Michael J. Gearing D.D.S. Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 W Clark St, Ste 2, Harrisburg, IL 62946 Phone: 618-252-6714 Fax: 618-252-6072 |
Harrisburg Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 N Main St, Harrisburg, IL 62946 Phone: 618-253-8450 |