Corporation | |
111 South First Street Effingham IL 62401 | |
(217) 342-4494 | |
(217) 347-5344 |
Full Name | Corporation |
---|---|
Speciality | Dentist |
Location | 111 South First Street, Effingham, Illinois |
Authorized Official Name and Position | Ted Koester (DMD) |
Authorized Official Contact | 2173424494 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Corporation 111 South First Street Effingham IL 62401 Ph: (217) 342-4494 | Corporation 111 South First Street Effingham IL 62401 Ph: (217) 342-4494 |
NPI Number | 1578633665 |
---|---|
Provider Enumeration Date | 11/08/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578633665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (Illinois) | Primary |
Glen Burnie Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Network Centre Drive, Suite #2, Effingham, IL 62401 Phone: 217-540-8946 Fax: 217-540-8946 | |
Heartland Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1379 N Outer Belt W, Effingham, IL 62401 Phone: 217-540-5000 Fax: 217-342-2557 | |
Heartland Dental Care Of Oh, Richard E Workman, Dmd Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Network Centre Dr, Effingham, IL 62401 Phone: 217-540-5100 | |
Heartland Dental Care Of Tn, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Network Centre Dr, Effingham, IL 62401 Phone: 217-540-5100 | |
Affordable Dentistry Today, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Network Centre Dr, Effingham, IL 62401 Phone: 217-540-5100 Fax: 877-635-3298 | |
Colorado Precision Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Network Centre Dr Ste 2, Effingham, IL 62401 Phone: 217-540-8306 |