| College Avenue Family Dentistry | |
|
3430 College Avenue Alton IL 62002 | |
| (618) 465-5727 | |
| (618) 465-5504 |
| Full Name | College Avenue Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3430 College Avenue, Alton, Illinois |
| Authorized Official Name and Position | Lindsay Bearden (INS COOD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| College Avenue Family Dentistry 3430 College Avenue Alton IL 62002 Ph: (618) 465-5727 | College Avenue Family Dentistry 3430 College Avenue Alton IL 62002 Ph: (618) 465-5727 |
| NPI Number | 1447472790 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447472790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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