| Distinctive Dental Solutions | |
|
1316 East Independence St Springfield IL 65804 | |
| (417) 889-0700 | |
| (417) 882-0706 |
| Full Name | Distinctive Dental Solutions |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1316 East Independence St, Springfield, Illinois |
| Authorized Official Name and Position | Kendra Walker (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Distinctive Dental Solutions 1316 East Independence St Springfield MO 65804 Ph: (417) 889-0700 | Distinctive Dental Solutions 1316 East Independence St Springfield IL 65804 Ph: (417) 889-0700 |
| NPI Number | 1710107032 |
|---|---|
| Provider Enumeration Date | 04/27/2007 |
| Last Update Date | 04/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710107032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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