| Dental Care At Prairie Crossing | |
|
2740 Prairie Crossing Drive Springfield IL 62711 | |
| (217) 953-0891 | |
| Not Available |
| Full Name | Dental Care At Prairie Crossing |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2740 Prairie Crossing Drive, Springfield, Illinois |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING TEAM LEAD) |
| Authorized Official Contact | 2175408312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care At Prairie Crossing 2740 Prairie Crossing Drive Springfield IL 62711 Ph: () - | Dental Care At Prairie Crossing 2740 Prairie Crossing Drive Springfield IL 62711 Ph: (217) 953-0891 |
| NPI Number | 1255884623 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 09/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255884623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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