| Dr Matthew Steven Daugherty, DDS | |
|
1900 E Main St, Danville, IL 61832-5100 | |
| (217) 554-5857 | |
| Not Available |
| Full Name | Dr Matthew Steven Daugherty |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1900 E Main St, Danville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568773760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901020200 (Michigan) | Primary |
| Entity Name | Community Health Partnership Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932375169 PECOS PAC ID: 6901053511 Enrollment ID: O20130723000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Steven Daugherty, DDS 2506 Monica Ln, Bloomington, IL 61705-4131 Ph: (205) 343-4686 | Dr Matthew Steven Daugherty, DDS 1900 E Main St, Danville, IL 61832-5100 Ph: (217) 554-5857 |
Mark W Anderson, DDS MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 909 N Logan Ave, Danville, IL 61832 Phone: 217-446-8696 Fax: 217-446-1969 | |
Dr. Richard Mark Vanburk, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 610 N Logan Ave, Danville, IL 61832 Phone: 217-442-3385 Fax: 217-442-2517 | |
Dr. James Matthew Hardy, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 809 N Gilbert St, Danville, IL 61832 Phone: 217-442-3020 Fax: 217-442-3943 | |
Dr. Brian Lee Secrist, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-5859 | |
Dr. Jacob S Froerer, DDS, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-3110 | |
Dr. Kevin King, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1010 N Gilbert St, Danville, IL 61832 Phone: 217-442-4878 | |
Dr. Mithila Sharma, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 2917 N Vermilion St, Aspen Dental, Danville, IL 61832 Phone: 217-703-4701 |