| Teutopolis Family Dental Llc | |
|
206 N Pearl St Teutopolis IL 62467-1134 | |
| (217) 857-3201 | |
| Not Available |
| Full Name | Teutopolis Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 206 N Pearl St, Teutopolis, Illinois |
| Authorized Official Name and Position | Blake Westra (OWNER) |
| Authorized Official Contact | 2174634110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teutopolis Family Dental Llc 522 E Jasper St Paris IL 61944-2437 Ph: () - | Teutopolis Family Dental Llc 206 N Pearl St Teutopolis IL 62467-1134 Ph: (217) 857-3201 |
| NPI Number | 1316595101 |
|---|---|
| Provider Enumeration Date | 08/27/2019 |
| Last Update Date | 03/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316595101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |