| Shady Oak Dental Llc - Rochelle Family Dental | |
|
409 Lincoln Hwy Rochelle IL 61068-1642 | |
| (815) 561-6058 | |
| Not Available |
| Full Name | Shady Oak Dental Llc - Rochelle Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 409 Lincoln Hwy, Rochelle, Illinois |
| Authorized Official Name and Position | Scott Bares (DOCTOR) |
| Authorized Official Contact | 8152752680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shady Oak Dental Llc - Rochelle Family Dental 409 Lincoln Hwy Rochelle IL 61068-1642 Ph: () - | Shady Oak Dental Llc - Rochelle Family Dental 409 Lincoln Hwy Rochelle IL 61068-1642 Ph: (815) 561-6058 |
| NPI Number | 1134692858 |
|---|---|
| Provider Enumeration Date | 01/04/2019 |
| Last Update Date | 01/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134692858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Mys - Rochelle Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lincoln Hwy, Rochelle, IL 61068 Phone: 815-562-2030 | |
Bpe Dental Care Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 Currency Ct, Rochelle, IL 61068 Phone: 815-562-8774 | |
Hub Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Lincoln Highway, Rochelle, IL 61068 Phone: 815-561-6058 |