| Magna Dental, PC | |
|
1825 S 6th St Springfield IL 62703-3122 | |
| (217) 525-6980 | |
| (217) 525-6984 |
| Full Name | Magna Dental, PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1825 S 6th St, Springfield, Illinois |
| Authorized Official Name and Position | Candace Christine Cummins (TREASURER/BOOKKEEPER) |
| Authorized Official Contact | 2173813681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magna Dental, PC 1825 S 6th St Springfield IL 62703-3122 Ph: (217) 525-6980 | Magna Dental, PC 1825 S 6th St Springfield IL 62703-3122 Ph: (217) 525-6980 |
| NPI Number | 1750780219 |
|---|---|
| Provider Enumeration Date | 08/20/2014 |
| Last Update Date | 02/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750780219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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