| Carterville Family Dentistry | |
|
301 N Division St Carterville IL 62918-1205 | |
| (618) 985-3515 | |
| (618) 985-3986 |
| Full Name | Carterville Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 301 N Division St, Carterville, Illinois |
| Authorized Official Name and Position | James E Simpson (OWNER) |
| Authorized Official Contact | 6189853515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carterville Family Dentistry Po Box 433 Carterville IL 62918-0433 Ph: (618) 985-3515 | Carterville Family Dentistry 301 N Division St Carterville IL 62918-1205 Ph: (618) 985-3515 |
| NPI Number | 1053559781 |
|---|---|
| Provider Enumeration Date | 02/03/2009 |
| Last Update Date | 02/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053559781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019018834 (Illinois) | Primary |
John A. Logan College Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Logan College Dr, Carterville, IL 62918 Phone: 618-985-2828 Fax: 618-985-4654 | |
Carterville Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 South Division, Carterville, IL 62918 Phone: 618-985-4200 Fax: 618-985-4137 |