| Dr Monte A Reevis Dmd Inc | |
|
1301 J David Jones Parkway Springfield IL 62702-2599 | |
| (217) 522-9911 | |
| (217) 522-0052 |
| Full Name | Dr Monte A Reevis Dmd Inc |
|---|---|
| Speciality | Dentist |
| Location | 1301 J David Jones Parkway, Springfield, Illinois |
| Authorized Official Name and Position | Monte Alan Reevis (PRESIDENT) |
| Authorized Official Contact | 2175229911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Monte A Reevis Dmd Inc 1301 J David Jones Parkway Springfield IL 62702-2599 Ph: (217) 522-9911 | Dr Monte A Reevis Dmd Inc 1301 J David Jones Parkway Springfield IL 62702-2599 Ph: (217) 522-9911 |
| NPI Number | 1760558472 |
|---|---|
| Provider Enumeration Date | 11/27/2006 |
| Last Update Date | 07/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760558472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019020286 (Illinois) | Primary |
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