| Dentistry By Design | |
|
1905 Convenience Place Suite B Champaign IL 61820 | |
| (217) 356-7400 | |
| (217) 356-7405 |
| Full Name | Dentistry By Design |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1905 Convenience Place, Champaign, 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 |
|---|---|
| Dentistry By Design 1905 Convenience Place Suite B Champaign IL 61820 Ph: (217) 356-7400 | Dentistry By Design 1905 Convenience Place Suite B Champaign IL 61820 Ph: (217) 356-7400 |
| NPI Number | 1619180973 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619180973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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