Metamora Family Dental is a dental clinic (Dentist - General Practice) in Metamora, Illinois. The current practice location for Metamora Family Dental is 212 N Davenport St, Metamora, Illinois. For appointments, you can reach them via phone at
(309) 369-2378. The mailing address for Metamora Family Dental is 212 N Davenport St, Po Box 920, Metamora, Illinois and phone number is (309) 369-2378.
Metamora Family Dental is licensed to practice in Illinois (license number 019025832) and its
NPI number is 1891957726. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(309) 369-2378.
Dental Care Clinic Profile
| Full Name | Metamora Family Dental |
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| Speciality | Dentist - General Practice |
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| Location | 212 N Davenport St, Metamora, Illinois |
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| Authorized Official Name and Position | Kyle Andrew Krall (PRESIDENT) |
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| Authorized Official Contact | 3093672378 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Metamora Family Dental
212 N Davenport St
Po Box 920
Metamora
IL 61548-9395
Ph: (309) 369-2378 | Metamora Family Dental
212 N Davenport St
Metamora
IL 61548-9395
Ph: (309) 369-2378 |
NPI Details:
| NPI Number | 1891957726 |
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| Provider Enumeration Date | 07/01/2008 |
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| Last Update Date | 05/04/2022 |
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Medical Identifiers
Medical identifiers for Metamora Family Dental such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891957726 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 019025832 (Illinois) | Primary |
| 1223G0001X | Dentist - General Practice | 019018768 (Illinois) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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