| Riverside Dental, Pc | |
|
401 Main St Savanna IL 61074-1535 | |
| (815) 273-2212 | |
| (815) 273-2218 |
| Full Name | Riverside Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 401 Main St, Savanna, Illinois |
| Authorized Official Name and Position | William J Tonne (PRESIDENT) |
| Authorized Official Contact | 8152732212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Dental, Pc 401 Main St Savanna IL 61074-1535 Ph: (815) 273-2212 | Riverside Dental, Pc 401 Main St Savanna IL 61074-1535 Ph: (815) 273-2212 |
| NPI Number | 1073667184 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073667184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19-14419 (Illinois) | Primary |
Keith Ruter Llc Dba Riverside Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Main St, Savanna, IL 61074 Phone: 815-273-2212 Fax: 815-273-1081 |