| Breese Dental Care, Pc | |
|
111 N Main St Breese IL 62230-1629 | |
| (618) 526-2020 | |
| (618) 526-8330 |
| Full Name | Breese Dental Care, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 111 N Main St, Breese, Illinois |
| Authorized Official Name and Position | Timothy Howard Droege (OWNER) |
| Authorized Official Contact | 6185262020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breese Dental Care, Pc 111 N Main St Breese IL 62230-1629 Ph: (618) 526-2020 | Breese Dental Care, Pc 111 N Main St Breese IL 62230-1629 Ph: (618) 526-2020 |
| NPI Number | 1942753215 |
|---|---|
| Provider Enumeration Date | 08/03/2016 |
| Last Update Date | 08/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942753215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 019020712 (Illinois) | Primary |
Trenton Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9437 Holy Cross Ln., Breese, IL 62230 Phone: 618-526-4233 Fax: 618-526-4908 |