Coal City Dental Center | |
645 E Division St Coal City IL 60416-1679 | |
(815) 634-4999 | |
(815) 634-0014 |
Full Name | Coal City Dental Center |
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Speciality | Dentist - General Practice |
Location | 645 E Division St, Coal City, Illinois |
Authorized Official Name and Position | Robin Lynn Trevison (DENTIST) |
Authorized Official Contact | 8156344999 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coal City Dental Center 645 E Division St Coal City IL 60416-1679 Ph: (815) 634-4999 | Coal City Dental Center 645 E Division St Coal City IL 60416-1679 Ph: (815) 634-4999 |
NPI Number | 1356604672 |
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Provider Enumeration Date | 06/21/2012 |
Last Update Date | 06/21/2012 |
Identifier | Type | State | Issuer |
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1356604672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 019020745 (Illinois) | Primary |
Plainfield Family Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 595 N Broadway St, Coal City, IL 60416 Phone: 815-634-8009 Fax: 815-634-2008 | |
Broadway Family Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 595 N Broadway St, Coal City, IL 60416 Phone: 815-634-8009 Fax: 815-634-2008 |