| Jason Luchtefeld, Dmd, Llc | |
|
1502 W Main St Robinson IL 62454-3819 | |
| (618) 544-2626 | |
| Not Available |
| Full Name | Jason Luchtefeld, Dmd, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1502 W Main St, Robinson, Illinois |
| Authorized Official Name and Position | Jason Luchtefeld (MEMBER) |
| Authorized Official Contact | 6185442626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Luchtefeld, Dmd, Llc 1502 W Main St Robinson IL 62454-3819 Ph: (618) 544-2626 | Jason Luchtefeld, Dmd, Llc 1502 W Main St Robinson IL 62454-3819 Ph: (618) 544-2626 |
| NPI Number | 1942577002 |
|---|---|
| Provider Enumeration Date | 11/17/2011 |
| Last Update Date | 11/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942577002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019027847 (Illinois) | Primary |
Robinson Smile Center Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1502 W Main St, Robinson, IL 62454 Phone: 618-544-2626 | |
Robinson Family Dental Clinic Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 N Allen St, Robinson, IL 62454 Phone: 618-546-1544 |