| Herrin Dental Llc | |
|
3024 S Park Ave Herrin IL 62948-3721 | |
| (833) 337-9563 | |
| Not Available |
| Full Name | Herrin Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3024 S Park Ave, Herrin, Illinois |
| Authorized Official Name and Position | Mahmoud Jallad (OWNER DENTIST) |
| Authorized Official Contact | 3343547852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Herrin Dental Llc 3205 Arabian Ct Herrin IL 62948-3788 Ph: (334) 354-7852 | Herrin Dental Llc 3024 S Park Ave Herrin IL 62948-3721 Ph: (833) 337-9563 |
| NPI Number | 1275260218 |
|---|---|
| Provider Enumeration Date | 08/01/2022 |
| Last Update Date | 09/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275260218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Timothy J. Loughran Dds, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S 16th St, Herrin, IL 62948 Phone: 618-988-8130 |