| Philco Dental Group LLC - Springfield | |
|
2701 N Dirksen Pkwy Springfield IL 62702-1407 | |
| (217) 492-1400 | |
| Not Available |
| Full Name | Philco Dental Group LLC - Springfield |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2701 N Dirksen Pkwy, Springfield, Illinois |
| Authorized Official Name and Position | Aaron Phillips (OWNER) |
| Authorized Official Contact | 2174921400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philco Dental Group LLC - Springfield Po Box 70887 Cleveland OH 44190-0887 | Philco Dental Group LLC - Springfield 2701 N Dirksen Pkwy Springfield IL 62702-1407 Ph: (217) 492-1400 |
| NPI Number | 1003328675 |
|---|---|
| Provider Enumeration Date | 11/03/2017 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003328675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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