Associates In Dentistry | |
336 N Main Street Canton IL 61520-1826 | |
(309) 647-3331 | |
(309) 649-5439 |
Full Name | Associates In Dentistry |
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Speciality | Dentist |
Location | 336 N Main Street, Canton, Illinois |
Authorized Official Name and Position | Cindy Hamilton (BUSINESS ADMINISTRATOR) |
Authorized Official Contact | 3096975680 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Associates In Dentistry 1518 W Garfield Ave Bartonville IL 61607-1755 Ph: (309) 697-5680 | Associates In Dentistry 336 N Main Street Canton IL 61520-1826 Ph: (309) 647-3331 |
NPI Number | 1316029044 |
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Provider Enumeration Date | 10/20/2006 |
Last Update Date | 04/30/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316029044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
Dr. Gregory Lee Derry D.d.s. Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 75 E Birch St, Canton, IL 61520 Phone: 309-647-2244 |