| Jill Kinsella Dmd Llc | |
| 
					703 Seibert Rd. Suite 5 Scott Afb IL 62225  | |
| (618) 744-1969 | |
| (618) 744-1986 | 
| Full Name | Jill Kinsella Dmd Llc | 
|---|---|
| Speciality | Dentist | 
| Location | 703 Seibert Rd., Scott Afb, Illinois | 
| Authorized Official Name and Position | Jill Anne Kinsella (OWNER/DENTIST) | 
| Authorized Official Contact | 6187441969 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jill Kinsella Dmd Llc 703 Seibert Rd. Suite 5 Scott Afb IL 62225 Ph: (618) 744-1969  | Jill Kinsella Dmd Llc 703 Seibert Rd. Suite 5 Scott Afb IL 62225 Ph: (618) 744-1969  | 
| NPI Number | 1043589526 | 
|---|---|
| Provider Enumeration Date | 12/29/2011 | 
| Last Update Date | 06/21/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043589526 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | 019027404 (Illinois) | Primary |