| Dr Steven John Boente, DMD | |
|
204 Oakland Ave, Carlinville, IL 62626-1951 | |
| (217) 854-4741 | |
| (217) 854-6505 |
| Full Name | Dr Steven John Boente |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 204 Oakland Ave, Carlinville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700967031 | NPI | - | NPPES |
| 36-4680991 | Other | IL | FEDERAL TAX ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019018555 (Illinois) | Primary |
| Entity Name | Macoupin County Public Health Department |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538444906 PECOS PAC ID: 1557377850 Enrollment ID: O20060223000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Steven John Boente, DMD 204 Oakland Ave, Carlinville, IL 62626-1951 Ph: (217) 854-4741 | Dr Steven John Boente, DMD 204 Oakland Ave, Carlinville, IL 62626-1951 Ph: (217) 854-4741 |
Dr. Katherine Boente, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 204 Oakland Ave, Carlinville, IL 62626 Phone: 217-854-4741 | |
Dr. Peter Gordon Denby, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 326 E 1st South St, Carlinville, IL 62626 Phone: 217-854-0014 Fax: 217-854-2801 | |
Dr. Michael Levora, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 326 E 1st South St, Carlinville, IL 62626 Phone: 217-854-0014 | |
Dr. Steven A Carr, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 238 N High St, Carlinville, IL 62626 Phone: 217-854-2531 | |
Gary James Pellizzaro, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 827 N Broad St, Carlinville, IL 62626 Phone: 217-854-5059 | |
Dr. Nicolas Eric Kravanya, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 204 Oakland Ave, Carlinville, IL 62626 Phone: 217-854-4741 |