| Baytowne Dental Center | |
|
907 W Marketview Unit 11 Champaign IL 61822 | |
| (217) 355-5220 | |
| (217) 355-5226 |
| Full Name | Baytowne Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 907 W Marketview, Champaign, Illinois |
| Authorized Official Name and Position | Amy Kroeger (INS COOD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baytowne Dental Center 907 W Marketview Unit 11 Champaign IL 61822 Ph: (217) 355-5220 | Baytowne Dental Center 907 W Marketview Unit 11 Champaign IL 61822 Ph: (217) 355-5220 |
| NPI Number | 1801018270 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801018270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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