| Alliance Dental Group | |
|
540 W Walnut St Oglesby IL 61348-1400 | |
| (815) 883-3162 | |
| Not Available |
| Full Name | Alliance Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 540 W Walnut St, Oglesby, Illinois |
| Authorized Official Name and Position | Kim Wilson (CRED SUPERVISOR) |
| Authorized Official Contact | 2175405170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Dental Group 540 W Walnut St Oglesby IL 61348-1400 Ph: () - | Alliance Dental Group 540 W Walnut St Oglesby IL 61348-1400 Ph: (815) 883-3162 |
| NPI Number | 1144623273 |
|---|---|
| Provider Enumeration Date | 10/03/2014 |
| Last Update Date | 10/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144623273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Oglesby Family Dentistry, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 W Walnut St, Oglesby, IL 61348 Phone: 815-883-3316 Fax: 815-883-3318 | |
Alliance Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N Columbia Ave, Oglesby, IL 61348 Phone: 815-883-3162 Fax: 815-883-7062 |