| 21st Century Dental - Rock Island | |
|
4024 Blackhawk Road Rock Island IL 61201 | |
| (309) 788-6689 | |
| (309) 788-7238 |
| Full Name | 21st Century Dental - Rock Island |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4024 Blackhawk Road, Rock Island, Illinois |
| Authorized Official Name and Position | Amy Kroeger (INS COOD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 21st Century Dental - Rock Island 4024 Blackhawk Road Rock Island IL 61201 Ph: (309) 788-6689 | 21st Century Dental - Rock Island 4024 Blackhawk Road Rock Island IL 61201 Ph: (309) 788-6689 |
| NPI Number | 1831311430 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831311430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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