| Arch View Family Dental, Pllc | |
|
2133 S State Route 157 Edwardsville IL 62025-3691 | |
| (618) 656-2006 | |
| (618) 656-2066 |
| Full Name | Arch View Family Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2133 S State Route 157, Edwardsville, Illinois |
| Authorized Official Name and Position | Andrea Marie York (PRACTICE ADMIN) |
| Authorized Official Contact | 6183350430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arch View Family Dental, Pllc 2133 S State Route 157 Edwardsville IL 62025-3691 Ph: (618) 656-2006 | Arch View Family Dental, Pllc 2133 S State Route 157 Edwardsville IL 62025-3691 Ph: (618) 656-2006 |
| NPI Number | 1013570928 |
|---|---|
| Provider Enumeration Date | 04/16/2019 |
| Last Update Date | 04/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013570928 | NPI | - | NPPES |
| 1720300585 | Other | IL | NPI |
| 19-028117 | Other | IL | STATE OF IL DENTAL LICENSE |
| 1649495458 | Other | IL | NPI |
| 19-025636 | Other | IL | STATE OF IL DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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