Effingham Endodontist | |
107 S 3rd St Lowr Level Effingham IL 62401-3632 | |
(217) 663-6292 | |
Not Available |
Full Name | Effingham Endodontist |
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Speciality | Dentist - Endodontics |
Location | 107 S 3rd St Lowr Level, Effingham, Illinois |
Authorized Official Name and Position | Claire Christine Lustig (OWNER ENDODONTIST) |
Authorized Official Contact | 2176636292 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Effingham Endodontist 2005 Arsenal St Saint Louis MO 63118-2535 Ph: (217) 663-6292 | Effingham Endodontist 107 S 3rd St Lowr Level Effingham IL 62401-3632 Ph: (217) 663-6292 |
NPI Number | 1871304055 |
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Provider Enumeration Date | 01/16/2025 |
Last Update Date | 01/16/2025 |
Identifier | Type | State | Issuer |
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1871304055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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