| Stateline Dentistry Pc | |
|
3700 Il Route 173 Richmond IL 60071-9614 | |
| (815) 701-6411 | |
| Not Available |
| Full Name | Stateline Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3700 Il Route 173, Richmond, Illinois |
| Authorized Official Name and Position | Amanda Roberts (OFFICE MANAGER) |
| Authorized Official Contact | 8153854140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stateline Dentistry Pc 3700 Il Route 173 Richmond IL 60071-9614 Ph: (815) 701-6411 | Stateline Dentistry Pc 3700 Il Route 173 Richmond IL 60071-9614 Ph: (815) 701-6411 |
| NPI Number | 1346126182 |
|---|---|
| Provider Enumeration Date | 08/15/2025 |
| Last Update Date | 08/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346126182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Smiles By Design Group Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10015 Main St, Richmond, IL 60071 Phone: 815-678-4551 Fax: 815-678-4555 |