| Drs Drake Ltd | |
|
515 Pearl Street Belvidere IL 61008 | |
| (815) 547-8112 | |
| (815) 544-5480 |
| Full Name | Drs Drake Ltd |
|---|---|
| Speciality | Dentist |
| Location | 515 Pearl Street, Belvidere, Illinois |
| Authorized Official Name and Position | Dale Addison Drake (PRESIDENT OWNER) |
| Authorized Official Contact | 8155478112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs Drake Ltd 515 Pearl Street Belvidere IL 61008 Ph: (815) 547-8112 | Drs Drake Ltd 515 Pearl Street Belvidere IL 61008 Ph: (815) 547-8112 |
| NPI Number | 1316007859 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316007859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1915991 (Illinois) | Primary |
| 122300000X | Dentist | 1917128 (Illinois) | Secondary |
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