| Advanced Dental Care | |
|
4561 Maine St Quincy IL 62305-5851 | |
| (217) 228-1085 | |
| (217) 228-1089 |
| Full Name | Advanced Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4561 Maine St, Quincy, Illinois |
| Authorized Official Name and Position | Diane V Lane (BUSINESS ASSISTANT) |
| Authorized Official Contact | 2172281085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Care 4561 Maine St Quincy IL 62305-5851 Ph: (217) 228-1085 | Advanced Dental Care 4561 Maine St Quincy IL 62305-5851 Ph: (217) 228-1085 |
| NPI Number | 1346261450 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346261450 | NPI | - | NPPES |
| 1004529 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019-021341 (Illinois) | Primary |
Dale D. Shahan Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 636 Hampshire Suite 102, Quincy, IL 62301 Phone: 217-228-0101 Fax: 217-222-7011 | |
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Donald A. Busbey D.d.s. Prof. Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 N 12th St, Quincy, IL 62301 Phone: 217-222-5058 | |
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