| Virden Family Dental | |
|
155 N Springfield St Virden IL 62690-1455 | |
| (217) 965-5631 | |
| Not Available |
| Full Name | Virden Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 155 N Springfield St, Virden, Illinois |
| Authorized Official Name and Position | Ashley Nowdomski (GENERAL DENTIST) |
| Authorized Official Contact | 7088977259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virden Family Dental 155 N Springfield St Virden IL 62690-1455 Ph: (217) 965-5631 | Virden Family Dental 155 N Springfield St Virden IL 62690-1455 Ph: (217) 965-5631 |
| NPI Number | 1649955923 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 07/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649955923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Virden Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 E Dean St, Virden, IL 62690 Phone: 217-965-3032 Fax: 217-965-4312 |