| Morgan-michaels Family Dentistry, Llc | |
|
2100 E Washington St Bloomington IL 61701-4321 | |
| (309) 663-4114 | |
| (309) 663-1275 |
| Full Name | Morgan-michaels Family Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2100 E Washington St, Bloomington, Illinois |
| Authorized Official Name and Position | Courtney Morgan (PRESIDENT) |
| Authorized Official Contact | 3096634114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Morgan-michaels Family Dentistry, Llc 2100 E Washington St Bloomington IL 61701-4321 Ph: (309) 663-4114 | Morgan-michaels Family Dentistry, Llc 2100 E Washington St Bloomington IL 61701-4321 Ph: (309) 663-4114 |
| NPI Number | 1013402981 |
|---|---|
| Provider Enumeration Date | 06/24/2018 |
| Last Update Date | 09/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013402981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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