| Auburn Dental Care | |
|
500 E Jackson St Auburn IL 62615-9787 | |
| (217) 438-3721 | |
| Not Available |
| Full Name | Auburn Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 500 E Jackson St, Auburn, Illinois |
| Authorized Official Name and Position | Todd Johnson (PRESIDENT) |
| Authorized Official Contact | 2177662612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Auburn Dental Care 500 E Jackson St Auburn IL 62615-9787 Ph: (217) 438-3721 | Auburn Dental Care 500 E Jackson St Auburn IL 62615-9787 Ph: (217) 438-3721 |
| NPI Number | 1295093003 |
|---|---|
| Provider Enumeration Date | 04/30/2012 |
| Last Update Date | 04/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295093003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019.025511 (Illinois) | Primary |
Auburn Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 E Jackson St, Auburn, IL 62615 Phone: 217-434-3721 |