Southern Illinois Family Dentistry Llc | |
1030 4th St Eldorado IL 62930-1702 | |
(618) 273-9361 | |
Not Available |
Full Name | Southern Illinois Family Dentistry Llc |
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Speciality | Dentist |
Location | 1030 4th St, Eldorado, Illinois |
Authorized Official Name and Position | Emily Rubenacker (DENTIST) |
Authorized Official Contact | 6188416431 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southern Illinois Family Dentistry Llc 7754 State Route 14 Mc Leansboro IL 62859-4501 Ph: (618) 841-6431 | Southern Illinois Family Dentistry Llc 1030 4th St Eldorado IL 62930-1702 Ph: (618) 273-9361 |
NPI Number | 1467347732 |
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Provider Enumeration Date | 06/09/2025 |
Last Update Date | 06/09/2025 |
Identifier | Type | State | Issuer |
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1467347732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Loren G. Wilson D.d.s. P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1030 4th St, Eldorado, IL 62930 Phone: 618-273-9684 Fax: 618-273-7107 |