| 21st Century Dental - Springfield | |
|
2837 Chatham Road Springfield IL 62704 | |
| (217) 698-9500 | |
| (217) 698-6315 |
| Full Name | 21st Century Dental - Springfield |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2837 Chatham Road, Springfield, Illinois |
| Authorized Official Name and Position | Lindsay Bearden (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 - Springfield 2837 Chatham Road Springfield IL 62704 Ph: (217) 698-9500 | 21st Century Dental - Springfield 2837 Chatham Road Springfield IL 62704 Ph: (217) 698-9500 |
| NPI Number | 1770796047 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770796047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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