| Jeanine Huddlestun-johns D.d.s. | |
|
605 South Vanburen Newton IL 62448 | |
| (618) 783-3714 | |
| (618) 783-3294 |
| Full Name | Jeanine Huddlestun-johns D.d.s. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 605 South Vanburen, Newton, Illinois |
| Authorized Official Name and Position | Jeanine Marie Huddlestun-johns (OWNER) |
| Authorized Official Contact | 6187833714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanine Huddlestun-johns D.d.s. 605 South Vanburen Newton IL 62448 Ph: (618) 783-3714 | Jeanine Huddlestun-johns D.d.s. 605 South Vanburen Newton IL 62448 Ph: (618) 783-3714 |
| NPI Number | 1497925184 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 03/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497925184 | NPI | - | NPPES |
| 180942 | Medicaid | IL | |
| 101119 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Illinois) | Primary |