Caldieraro Dental | |
20657 Staunton Rd Staunton IL 62088-4350 | |
(618) 635-8333 | |
Not Available |
Full Name | Caldieraro Dental |
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Speciality | Dentist - General Practice |
Location | 20657 Staunton Rd, Staunton, Illinois |
Authorized Official Name and Position | John B Caldieraro (OWNER) |
Authorized Official Contact | 6186358333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Caldieraro Dental 20657 Staunton Rd Staunton IL 62088-4350 Ph: (618) 635-8333 | Caldieraro Dental 20657 Staunton Rd Staunton IL 62088-4350 Ph: (618) 635-8333 |
NPI Number | 1982154027 |
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Provider Enumeration Date | 10/13/2016 |
Last Update Date | 10/13/2016 |
Identifier | Type | State | Issuer |
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1982154027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 019027703 (Illinois) | Primary |