Bushnell Family Dentistry | |
525 E Water St Bushnell IL 61422-1764 | |
(309) 772-2124 | |
Not Available |
Full Name | Bushnell Family Dentistry |
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Speciality | Dentist |
Location | 525 E Water St, Bushnell, Illinois |
Authorized Official Name and Position | Cynthia Paige Mccord (OWNER) |
Authorized Official Contact | 3097722124 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bushnell Family Dentistry 525 E Water St Bushnell IL 61422-1764 Ph: (309) 772-2124 | Bushnell Family Dentistry 525 E Water St Bushnell IL 61422-1764 Ph: (309) 772-2124 |
NPI Number | 1487919866 |
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Provider Enumeration Date | 07/11/2012 |
Last Update Date | 07/11/2012 |
Identifier | Type | State | Issuer |
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1487919866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 019-028904 (Illinois) | Primary |
124Q00000X | Dental Hygienist | 020-010827 (Illinois) | Secondary |