| Timothy J. Loughran Dds, P.c. | |
|
200 S 16th St Herrin IL 62948-2237 | |
| (618) 988-8130 | |
| Not Available |
| Full Name | Timothy J. Loughran Dds, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 200 S 16th St, Herrin, Illinois |
| Authorized Official Name and Position | Timothy J. Loughran (PRESIDENT) |
| Authorized Official Contact | 6189888130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J. Loughran Dds, P.c. 200 S 16th St Herrin IL 62948-2237 Ph: (618) 988-8130 | Timothy J. Loughran Dds, P.c. 200 S 16th St Herrin IL 62948-2237 Ph: (618) 988-8130 |
| NPI Number | 1659546406 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659546406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019-018163-1 (Illinois) | Primary |
Herrin Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3024 S Park Ave, Herrin, IL 62948 Phone: 833-337-9563 |