| Central Illinois Center For Tmj And Facial Pain, P.c. | |
|
731 Sabrina Dr Suite A East Peoria IL 61611-3581 | |
| (309) 699-1300 | |
| Not Available |
| Full Name | Central Illinois Center For Tmj And Facial Pain, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 731 Sabrina Dr, East Peoria, Illinois |
| Authorized Official Name and Position | Jack Glenn Walz (PROVIDER) |
| Authorized Official Contact | 3096991300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Illinois Center For Tmj And Facial Pain, P.c. 731 Sabrina Dr Suite A East Peoria IL 61611-3581 Ph: (309) 699-1300 | Central Illinois Center For Tmj And Facial Pain, P.c. 731 Sabrina Dr Suite A East Peoria IL 61611-3581 Ph: (309) 699-1300 |
| NPI Number | 1346546421 |
|---|---|
| Provider Enumeration Date | 02/07/2011 |
| Last Update Date | 09/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346546421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019021995 (Illinois) | Primary |
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Family Dental Care Of East Peoria Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 368 W. Washington St., East Peoria, IL 61611 Phone: 309-694-4444 Fax: 309-694-3361 | |
Maple Shade Dental Camp Street Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 W Camp St, East Peoria, IL 61611 Phone: 309-694-0606 | |
Thomas R. Nalepka D.d.s Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 W Camp St, East Peoria, IL 61611 Phone: 309-694-0606 Fax: 309-694-0677 | |
Secure Dental V Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 Riverside Dr, East Peoria, IL 61611 Phone: 309-681-8888 | |
Tmj & Sleep Apnea Center Of Central Il Dental Clinic Medicare: Medicare Enrolled Practice Location: 731 Sabrina Dr, Suite A, East Peoria, IL 61611 Phone: 309-699-1300 |