| Mount Sterling Dental Center, P.c. | |
|
839 Route 24, West Mount Sterling IL 62353 | |
| (217) 773-3213 | |
| (217) 773-3929 |
| Full Name | Mount Sterling Dental Center, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 839 Route 24, West, Mount Sterling, Illinois |
| Authorized Official Name and Position | Larry Kenneth Macon (DENTIST/OWNER) |
| Authorized Official Contact | 2177733213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Sterling Dental Center, P.c. Po Box 243 Mount Sterling IL 62353-0243 Ph: (217) 773-3213 | Mount Sterling Dental Center, P.c. 839 Route 24, West Mount Sterling IL 62353 Ph: (217) 773-3213 |
| NPI Number | 1588771786 |
|---|---|
| Provider Enumeration Date | 08/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588771786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |