| John M Conness Dds | |
|
1704 Polaris Cir Suite 1 Ottawa IL 61350-1773 | |
| (815) 434-1022 | |
| (815) 434-1047 |
| Full Name | John M Conness Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1704 Polaris Cir, Ottawa, Illinois |
| Authorized Official Name and Position | John Michael Conness (OWNER) |
| Authorized Official Contact | 8154341022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John M Conness Dds 1704 Polaris Cir Suite 1 Ottawa IL 61350-1773 Ph: (815) 434-1022 | John M Conness Dds 1704 Polaris Cir Suite 1 Ottawa IL 61350-1773 Ph: (815) 434-1022 |
| NPI Number | 1144685702 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 01/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144685702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019018550 (Illinois) | Primary |
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