| Stockton Dental Center, Inc. | |
|
120 W Front Ave Stockton IL 61085-1318 | |
| (815) 947-3700 | |
| (817) 947-9058 |
| Full Name | Stockton Dental Center, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 120 W Front Ave, Stockton, Illinois |
| Authorized Official Name and Position | Stephen F Petras (DENTIST) |
| Authorized Official Contact | 8159473700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stockton Dental Center, Inc. 120 W Front Ave Stockton IL 61085-1318 Ph: (815) 947-3700 | Stockton Dental Center, Inc. 120 W Front Ave Stockton IL 61085-1318 Ph: (815) 947-3700 |
| NPI Number | 1093880536 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093880536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |