Coles County Family Dental Care | |
826 W Lincoln Suite B Charleston IL 61920 | |
(217) 345-5250 | |
(217) 345-5390 |
Full Name | Coles County Family Dental Care |
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Speciality | Dentist - General Practice |
Location | 826 W Lincoln, Charleston, Illinois |
Authorized Official Name and Position | Amy Kroeger (INS COOD) |
Authorized Official Contact | 2175405100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coles County Family Dental Care 826 W Lincoln Suite B Charleston IL 61920 Ph: (217) 345-5250 | Coles County Family Dental Care 826 W Lincoln Suite B Charleston IL 61920 Ph: (217) 345-5250 |
NPI Number | 1245443514 |
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Provider Enumeration Date | 05/07/2007 |
Last Update Date | 05/21/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245443514 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Mycharlestondentist.com Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 826 W Lincoln Avenue, Suite A, Charleston, IL 61920 Phone: 217-345-1315 Fax: 217-345-1291 | |
Charleston Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 18th St, Charleston, IL 61920 Phone: 217-348-7770 Fax: 217-348-9279 |