| Dental Professionals Of Illinois, P.c. | |
|
1200 Network Centre Dr Ste 2 Effingham IL 62401-4637 | |
| (217) 540-2200 | |
| Not Available |
| Full Name | Dental Professionals Of Illinois, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1200 Network Centre Dr Ste 2, Effingham, Illinois |
| Authorized Official Name and Position | Celia Hayes (CREDENTIALING COORINATOR) |
| Authorized Official Contact | 2175402200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Professionals Of Illinois, P.c. 1200 Network Centre Dr Ste 2 Effingham IL 62401-4637 Ph: (217) 540-5146 | Dental Professionals Of Illinois, P.c. 1200 Network Centre Dr Ste 2 Effingham IL 62401-4637 Ph: (217) 540-2200 |
| NPI Number | 1811663776 |
|---|---|
| Provider Enumeration Date | 08/20/2021 |
| Last Update Date | 08/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811663776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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