| Brunk Family Dental Care | |
|
805 Market St Metropolis IL 62960-1635 | |
| (618) 940-0542 | |
| Not Available |
| Full Name | Brunk Family Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 805 Market St, Metropolis, Illinois |
| Authorized Official Name and Position | Kelli Jean Newell (DENTIST) |
| Authorized Official Contact | 6182832929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brunk Family Dental Care 805 Market St Metropolis IL 62960-1635 Ph: (618) 940-0542 | Brunk Family Dental Care 805 Market St Metropolis IL 62960-1635 Ph: (618) 940-0542 |
| NPI Number | 1982042412 |
|---|---|
| Provider Enumeration Date | 06/06/2013 |
| Last Update Date | 06/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982042412 | NPI | - | NPPES |
| 096681291 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019028666 (Illinois) | Primary |
Kyle W Heine Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 Jon St, Metropolis, IL 62960 Phone: 618-524-7303 | |
Brunk Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Market St, Unit B, Metropolis, IL 62960 Phone: 618-940-0542 |