| Michael D. Danner, D.d.s., Llc | |
| 
					1426 Valle Vista Blvd Pekin IL 61554-6224  | |
| (309) 346-2145 | |
| (309) 346-6330 | 
| Full Name | Michael D. Danner, D.d.s., Llc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 1426 Valle Vista Blvd, Pekin, Illinois | 
| Authorized Official Name and Position | Michael D Danner (OWNER) | 
| Authorized Official Contact | 3093462145 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Michael D. Danner, D.d.s., Llc 1426 Valle Vista Blvd Pekin IL 61554-6224 Ph: (309) 346-2145  | Michael D. Danner, D.d.s., Llc 1426 Valle Vista Blvd Pekin IL 61554-6224 Ph: (309) 346-2145  | 
| NPI Number | 1568493591 | 
|---|---|
| Provider Enumeration Date | 07/06/2006 | 
| Last Update Date | 05/31/2011 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1568493591 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-023984 (Illinois) | Primary | 
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