| Duquoin Dental Associates, Ltd. | |
|
1226 S Washington St Du Quoin IL 62832-3853 | |
| (618) 542-8832 | |
| (618) 542-9255 |
| Full Name | Duquoin Dental Associates, Ltd. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1226 S Washington St, Du Quoin, Illinois |
| Authorized Official Name and Position | Isaac E Davison (PRESIDENT/OWNER) |
| Authorized Official Contact | 6185425889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duquoin Dental Associates, Ltd. 1226 S Washington St Po Box 330 Du Quoin IL 62832-3853 Ph: (618) 542-8832 | Duquoin Dental Associates, Ltd. 1226 S Washington St Du Quoin IL 62832-3853 Ph: (618) 542-8832 |
| NPI Number | 1043480098 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043480098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Illinois) | Primary |
Teel Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 S Washington St, Du Quoin, IL 62832 Phone: 618-542-3166 Fax: 618-542-3167 |