| Family Dental Care Of East Peoria | |
|
368 W. Washington St. East Peoria IL 61611 | |
| (309) 694-4444 | |
| (309) 694-3361 |
| Full Name | Family Dental Care Of East Peoria |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 368 W. Washington St., East Peoria, Illinois |
| Authorized Official Name and Position | Lindsay Bearden (INSURANCE/CREDENTIALING) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Care Of East Peoria 368 W. Washington St. East Peoria IL 61611 Ph: (309) 694-4444 | Family Dental Care Of East Peoria 368 W. Washington St. East Peoria IL 61611 Ph: (309) 694-4444 |
| NPI Number | 1386985380 |
|---|---|
| Provider Enumeration Date | 03/15/2013 |
| Last Update Date | 01/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386985380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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