| Virden Dental Care | |
|
140 E Dean St Virden IL 62690-1446 | |
| (217) 965-3032 | |
| (217) 965-4312 |
| Full Name | Virden Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 140 E Dean St, Virden, Illinois |
| Authorized Official Name and Position | Julio C. Morales (OWNER/DENTIST) |
| Authorized Official Contact | 2179653032 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virden Dental Care 140 E Dean St Virden IL 62690-1446 Ph: (217) 965-3032 | Virden Dental Care 140 E Dean St Virden IL 62690-1446 Ph: (217) 965-3032 |
| NPI Number | 1376980375 |
|---|---|
| Provider Enumeration Date | 05/30/2013 |
| Last Update Date | 05/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376980375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019028033 (Illinois) | Secondary |
| 1223G0001X | Dentist - General Practice | 019024390 (Illinois) | Primary |
Virden Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 N Springfield St, Virden, IL 62690 Phone: 217-965-5631 |