| Plaza Dental Care,llc | |
|
1001 Broadway Highland IL 62249-1901 | |
| (618) 654-7461 | |
| (618) 654-8032 |
| Full Name | Plaza Dental Care,llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1001 Broadway, Highland, Illinois |
| Authorized Official Name and Position | Robert Hellige (PARTNER) |
| Authorized Official Contact | 6186547461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Dental Care,llc 1001 Broadway Highland IL 62249-1901 Ph: (618) 654-7461 | Plaza Dental Care,llc 1001 Broadway Highland IL 62249-1901 Ph: (618) 654-7461 |
| NPI Number | 1689891418 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689891418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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