| Smalltown Dental Hopedale | |
|
124 Nw Main St Hopedale IL 61747-7511 | |
| (309) 449-3371 | |
| Not Available |
| Full Name | Smalltown Dental Hopedale |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 124 Nw Main St, Hopedale, Illinois |
| Authorized Official Name and Position | Luke Overcash (OPERATIONS MANAGER) |
| Authorized Official Contact | 3093705853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smalltown Dental Hopedale Po Box 303 Hopedale IL 61747-0303 Ph: (309) 449-3371 | Smalltown Dental Hopedale 124 Nw Main St Hopedale IL 61747-7511 Ph: (309) 449-3371 |
| NPI Number | 1861039497 |
|---|---|
| Provider Enumeration Date | 12/02/2019 |
| Last Update Date | 06/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861039497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |