| Chester Family Dental Pllc | |
|
1654 State St Chester IL 62233-1001 | |
| (618) 826-5017 | |
| (618) 806-5019 |
| Full Name | Chester Family Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1654 State St, Chester, Illinois |
| Authorized Official Name and Position | Philip A Miller (OWNER) |
| Authorized Official Contact | 6188265017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chester Family Dental Pllc 1654 State St Chester IL 62233-1001 Ph: (618) 826-5017 | Chester Family Dental Pllc 1654 State St Chester IL 62233-1001 Ph: (618) 826-5017 |
| NPI Number | 1588290282 |
|---|---|
| Provider Enumeration Date | 03/14/2020 |
| Last Update Date | 03/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588290282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Chester Smile Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Opdyke St, Chester, IL 62233 Phone: 618-826-4440 Fax: 618-826-5799 |