| Illini Smiles Dental Care P.c. | |
|
200 Eastwood Dr Mahomet IL 61853-7035 | |
| (217) 586-5667 | |
| Not Available |
| Full Name | Illini Smiles Dental Care P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 200 Eastwood Dr, Mahomet, Illinois |
| Authorized Official Name and Position | Yudong Xu (CEO) |
| Authorized Official Contact | 2178928868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illini Smiles Dental Care P.c. 200 Eastwood Dr Mahomet IL 61853-7035 Ph: (217) 586-5667 | Illini Smiles Dental Care P.c. 200 Eastwood Dr Mahomet IL 61853-7035 Ph: (217) 586-5667 |
| NPI Number | 1457227605 |
|---|---|
| Provider Enumeration Date | 10/15/2025 |
| Last Update Date | 10/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457227605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Valerie Woodruff Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 N Eastwood Drive, Mahomet, IL 61853 Phone: 217-586-5667 Fax: 217-586-5781 |