| Goebel Family Dentistry, Llc | |
|
1601 River Dr Suite 300 Moline IL 61265-1494 | |
| (309) 277-3480 | |
| (309) 277-3499 |
| Full Name | Goebel Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1601 River Dr, Moline, Illinois |
| Authorized Official Name and Position | Thomas James Goebel (OWNER/DENTIST) |
| Authorized Official Contact | 3092773480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goebel Family Dentistry, Llc 1601 River Dr Suite 300 Moline IL 61265-1494 Ph: (309) 277-3480 | Goebel Family Dentistry, Llc 1601 River Dr Suite 300 Moline IL 61265-1494 Ph: (309) 277-3480 |
| NPI Number | 1295077394 |
|---|---|
| Provider Enumeration Date | 03/27/2013 |
| Last Update Date | 03/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295077394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019018218 (Illinois) | Secondary |
| 1223G0001X | Dentist - General Practice | 019029257 (Illinois) | Primary |
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