| Dental Safari Company, Ltd | |
|
800 E Walnut St Suite A Carbondale IL 62901-3142 | |
| (618) 457-6432 | |
| (618) 457-6432 |
| Full Name | Dental Safari Company, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 800 E Walnut St, Carbondale, Illinois |
| Authorized Official Name and Position | Melissa Ann Morley (PRESIDENT) |
| Authorized Official Contact | 6185596662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Safari Company, Ltd 800 E Walnut St Suite A Carbondale IL 62901-3142 Ph: (618) 457-6432 | Dental Safari Company, Ltd 800 E Walnut St Suite A Carbondale IL 62901-3142 Ph: (618) 457-6432 |
| NPI Number | 1427357631 |
|---|---|
| Provider Enumeration Date | 03/28/2011 |
| Last Update Date | 03/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427357631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019024825 (Illinois) | Primary |
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