| Dr Gary R Dettman, DDS | |
|
110 E Washington St, Marengo, IL 60152-3107 | |
| (815) 568-1202 | |
| Not Available |
| Full Name | Dr Gary R Dettman |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 110 E Washington St, Marengo, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851470470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019-020199 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gary R Dettman, DDS 110 E Washington St, Marengo, IL 60152-3107 Ph: (815) 568-1202 | Dr Gary R Dettman, DDS 110 E Washington St, Marengo, IL 60152-3107 Ph: (815) 568-1202 |
Dr. Martha K Basile, DDS Dentist Medicare: Medicare Enrolled Practice Location: 110 E Washington St, Marengo, IL 60152 Phone: 815-568-1202 | |
Dr. Liliana Paz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 110 E Washington St, Marengo, IL 60152 Phone: 815-568-1202 | |
Dr. Manfred Strohschein, Dentist Medicare: Medicare Enrolled Practice Location: 105 S State St, Marengo, IL 60152 Phone: 815-568-5650 |