Buffalo Prairie Dental Care Of Quincy, Inc | |
2801 Broadway St Quincy IL 62301-3639 | |
(217) 224-7645 | |
(217) 224-8465 |
Full Name | Buffalo Prairie Dental Care Of Quincy, Inc |
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Speciality | Dentist |
Location | 2801 Broadway St, Quincy, Illinois |
Authorized Official Name and Position | K J Sturhahn (PRESIDENT) |
Authorized Official Contact | 2172247645 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Buffalo Prairie Dental Care Of Quincy, Inc 2801 Broadway St Quincy IL 62301-3639 Ph: (217) 224-7645 | Buffalo Prairie Dental Care Of Quincy, Inc 2801 Broadway St Quincy IL 62301-3639 Ph: (217) 224-7645 |
NPI Number | 1407866452 |
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Provider Enumeration Date | 08/09/2006 |
Last Update Date | 01/04/2008 |
Identifier | Type | State | Issuer |
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1407866452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 0190242471 (Illinois) | Primary |
122300000X | Dentist | (Illinois) | Secondary |
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