| Chillicothe Dental Center | |
|
1008 N. 4th St. Chillicothe IL 61523 | |
| (309) 274-3820 | |
| (309) 274-6088 |
| Full Name | Chillicothe Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1008 N. 4th St., Chillicothe, Illinois |
| Authorized Official Name and Position | Kristie Lynn Mueller (OWNER/PRESIDENT) |
| Authorized Official Contact | 3092743820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chillicothe Dental Center Po Box 170 Chillicothe IL 61523-0170 Ph: (309) 274-3820 | Chillicothe Dental Center 1008 N. 4th St. Chillicothe IL 61523 Ph: (309) 274-3820 |
| NPI Number | 1447429238 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 12/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447429238 | NPI | - | NPPES |
| 1001904 | Other | IL | DORAL DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Smalltown Dental Chillicothe Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 N 4th St Ste B, Chillicothe, IL 61523 Phone: 309-274-3820 |