| Forreston Dental | |
|
510 5th Avenue Forreston IL 61030 | |
| (815) 938-2502 | |
| (815) 938-2363 |
| Full Name | Forreston Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 510 5th Avenue, Forreston, Illinois |
| Authorized Official Name and Position | Keith R Ruter (PARTNER) |
| Authorized Official Contact | 8159382490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forreston Dental 510 5th Avenue Forreston IL 61030 Ph: (815) 938-2502 | Forreston Dental 510 5th Avenue Forreston IL 61030 Ph: (815) 938-2502 |
| NPI Number | 1407068646 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407068646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |