Alliance Dental Group | |
210 N Columbia Ave Oglesby IL 61348-1480 | |
(815) 883-3162 | |
(815) 883-7062 |
Full Name | Alliance Dental Group |
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Speciality | Dentist - General Practice |
Location | 210 N Columbia Ave, Oglesby, Illinois |
Authorized Official Name and Position | Brian Robert Billard (OWNER DENTIST) |
Authorized Official Contact | 8158833162 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alliance Dental Group 210 N Columbia Ave Oglesby IL 61348-1480 Ph: (815) 883-3162 | Alliance Dental Group 210 N Columbia Ave Oglesby IL 61348-1480 Ph: (815) 883-3162 |
NPI Number | 1609913524 |
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Provider Enumeration Date | 01/31/2007 |
Last Update Date | 03/31/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609913524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (Illinois) | Primary |
Alliance Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 W Walnut St, Oglesby, IL 61348 Phone: 815-883-3162 | |
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 |