| Family Dental Care | |
|
1768 S Rosenstiel Dr Freeport IL 61032 | |
| (815) 235-2600 | |
| (815) 235-9846 |
| Full Name | Family Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1768 S Rosenstiel Dr, Freeport, Illinois |
| Authorized Official Name and Position | Michael Perry (C.E.O.) |
| Authorized Official Contact | 8152352600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Care 1768 S Rosenstiel Dr Freeport IL 61032 Ph: (815) 235-2600 | Family Dental Care 1768 S Rosenstiel Dr Freeport IL 61032 Ph: (815) 235-2600 |
| NPI Number | 1649210352 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649210352 | NPI | - | NPPES |
| 1005536 | Medicaid | IL | |
| 9177538 | Medicaid | IL | |
| 9178466 | Medicaid | IL | |
| 1004800 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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