| Beardstown Family Dental | |
|
507 Washington St Beardstown IL 62618-1558 | |
| (217) 232-2701 | |
| Not Available |
| Full Name | Beardstown Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 507 Washington St, Beardstown, Illinois |
| Authorized Official Name and Position | Kim Wilson (CRED SUPERVISOR) |
| Authorized Official Contact | 2175405170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beardstown Family Dental 507 Washington St Beardstown IL 62618-1558 Ph: (217) 232-2701 | Beardstown Family Dental 507 Washington St Beardstown IL 62618-1558 Ph: (217) 232-2701 |
| NPI Number | 1629471016 |
|---|---|
| Provider Enumeration Date | 09/30/2014 |
| Last Update Date | 09/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629471016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
John Gauer Merrihew Dmd Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1020 State St, Beardstown, IL 62618 Phone: 217-323-3950 Fax: 217-323-3510 |