Df Roberson & Wj Stapleton Dds, Ltd | |
1075 Harrison St Wood River IL 62095-1867 | |
(618) 259-5200 | |
(618) 259-3181 |
Full Name | Df Roberson & Wj Stapleton Dds, Ltd |
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Speciality | Dentist - General Practice |
Location | 1075 Harrison St, Wood River, Illinois |
Authorized Official Name and Position | Linda D Fitzgerald (OFFICE MANAGER) |
Authorized Official Contact | 6182595200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Df Roberson & Wj Stapleton Dds, Ltd 1075 Harrison St Wood River IL 62095-1867 Ph: (618) 259-5200 | Df Roberson & Wj Stapleton Dds, Ltd 1075 Harrison St Wood River IL 62095-1867 Ph: (618) 259-5200 |
NPI Number | 1821183666 |
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Provider Enumeration Date | 10/04/2006 |
Last Update Date | 07/31/2008 |
Identifier | Type | State | Issuer |
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1821183666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019012551 (Illinois) | Primary |
Wood River Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1075 Harrison St, Wood River, IL 62095 Phone: 618-259-5200 | |
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Wood River Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1915 Vaughn Road, Wood River, IL 62095 Phone: 618-259-2007 Fax: 618-259-2675 |