| Oregon Dental Llc | |
|
1307 W Washington St Ste 130 Oregon IL 61061-1001 | |
| (815) 732-6911 | |
| Not Available |
| Full Name | Oregon Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1307 W Washington St Ste 130, Oregon, Illinois |
| Authorized Official Name and Position | Brad Brubaker (COO) |
| Authorized Official Contact | 8159382575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon Dental Llc 1307 W Washington St Ste 130 Oregon IL 61061-1001 Ph: (815) 732-6911 | Oregon Dental Llc 1307 W Washington St Ste 130 Oregon IL 61061-1001 Ph: (815) 732-6911 |
| NPI Number | 1225516073 |
|---|---|
| Provider Enumeration Date | 08/03/2018 |
| Last Update Date | 08/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225516073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Joseph Kerwin Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1307 Washington St, Suite 130, Oregon, IL 61061 Phone: 815-732-6911 Fax: 815-732-7852 |