| S B Naik Dds Ltd | |
|
203 E Santa Fe, Box 674 Toluca IL 61369 | |
| (815) 452-2513 | |
| (815) 452-2585 |
| Full Name | S B Naik Dds Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 203 E Santa Fe, Box 674, Toluca, Illinois |
| Authorized Official Name and Position | S B Naik (GENERAL DENTIST PRESIDENT) |
| Authorized Official Contact | 8154522513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S B Naik Dds Ltd 203 E Santa Fe, Box 674 Toluca IL 61369 Ph: (815) 452-2513 | S B Naik Dds Ltd 203 E Santa Fe, Box 674 Toluca IL 61369 Ph: (815) 452-2513 |
| NPI Number | 1942355185 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 05/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942355185 | NPI | - | NPPES |
| 1003096 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019016212 (Illinois) | Primary |
Fieldcrest Dental, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 E Santa Fe Ave, Toluca, IL 61369 Phone: 815-452-2513 |