| Gregg L. Painter, Dds, Pc | |
|
202 Summit St Galena IL 61036-1636 | |
| (815) 777-2338 | |
| (815) 777-2338 |
| Full Name | Gregg L. Painter, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 202 Summit St, Galena, Illinois |
| Authorized Official Name and Position | Gregg L Painter (PRESIDENT) |
| Authorized Official Contact | 8157772338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregg L. Painter, Dds, Pc 202 Summit St Galena IL 61036-1636 Ph: (815) 777-2338 | Gregg L. Painter, Dds, Pc 202 Summit St Galena IL 61036-1636 Ph: (815) 777-2338 |
| NPI Number | 1255603288 |
|---|---|
| Provider Enumeration Date | 02/07/2012 |
| Last Update Date | 02/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255603288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 060010749 (Illinois) | Primary |
Galena Family Dental, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Summit St, Galena, IL 61036 Phone: 815-777-2338 Fax: 815-777-2338 |