| Dental Professionals Of Illinois, P.c. | |
|
3820 Wabash Ave Springfield IL 62711 | |
| (217) 698-1717 | |
| Not Available |
| Full Name | Dental Professionals Of Illinois, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3820 Wabash Ave, Springfield, Illinois |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Of Illinois, P.c. 3820 Wabash Ave Springfield IL 62711-6467 Ph: (217) 698-1717 | Dental Professionals Of Illinois, P.c. 3820 Wabash Ave Springfield IL 62711 Ph: (217) 698-1717 |
| NPI Number | 1952523284 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 07/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952523284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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