| Main Square Dental | |
|
5392 Williams Dr Roscoe IL 61073-7320 | |
| (815) 623-9292 | |
| Not Available |
| Full Name | Main Square Dental |
|---|---|
| Speciality | Dentist |
| Location | 5392 Williams Dr, Roscoe, Illinois |
| Authorized Official Name and Position | Martha Muldowney (DR) |
| Authorized Official Contact | 8156239292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Square Dental 5392 Williams Dr Roscoe IL 61073-7320 Ph: (815) 623-9292 | Main Square Dental 5392 Williams Dr Roscoe IL 61073-7320 Ph: (815) 623-9292 |
| NPI Number | 1922457126 |
|---|---|
| Provider Enumeration Date | 06/08/2016 |
| Last Update Date | 06/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922457126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 19016896 (Illinois) | Primary |
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Mommers & Muldowney Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5472 Reimer Dr, Roscoe, IL 61073 Phone: 815-623-2133 Fax: 815-623-8804 | |
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