| Capati Dental, Llc | |
|
1027 S 2nd St Springfield IL 62704-3004 | |
| (217) 522-4451 | |
| (217) 522-3980 |
| Full Name | Capati Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1027 S 2nd St, Springfield, Illinois |
| Authorized Official Name and Position | Shay L Crawford (OFFICE MANAGER) |
| Authorized Official Contact | 2175224451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capati Dental, Llc 1027 S 2nd St Springfield IL 62704-3004 Ph: (217) 522-4451 | Capati Dental, Llc 1027 S 2nd St Springfield IL 62704-3004 Ph: (217) 522-4451 |
| NPI Number | 1720138977 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 07/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720138977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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