| Southern Illinois Family Dentistry Llc | |
|
1030 4th St Eldorado IL 62930-1702 | |
| (618) 273-9361 | |
| Not Available |
| Full Name | Southern Illinois Family Dentistry Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 06/09/2025 |
| Last Update Date | 06/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 |