| Family Dental Care Of Champaign | |
|
14 East Anthony Drive Suite A Champaign IL 61820 | |
| (217) 359-8697 | |
| (217) 355-5094 |
| Full Name | Family Dental Care Of Champaign |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14 East Anthony Drive, Champaign, Illinois |
| Authorized Official Name and Position | Lindsay Bearden (INS COOD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Care Of Champaign 14 East Anthony Drive Suite A Champaign IL 61820 Ph: (217) 359-8697 | Family Dental Care Of Champaign 14 East Anthony Drive Suite A Champaign IL 61820 Ph: (217) 359-8697 |
| NPI Number | 1750594016 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750594016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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