Carrollton Family Dental | |
603 5th St Carrollton IL 62016-1401 | |
(217) 942-5033 | |
(217) 942-9503 |
Full Name | Carrollton Family Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 603 5th St, Carrollton, Illinois |
Authorized Official Name and Position | Stacy Sue Cox (OFFICE MANAGER) |
Authorized Official Contact | 6185200127 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carrollton Family Dental 603 5th St Carrollton IL 62016-1401 Ph: (217) 942-5033 | Carrollton Family Dental 603 5th St Carrollton IL 62016-1401 Ph: (217) 942-5033 |
NPI Number | 1952154288 |
---|---|
Provider Enumeration Date | 04/08/2024 |
Last Update Date | 04/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952154288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |