| Foley Dental Group, Llc | |
|
2016 Vadalabene Dr Maryville IL 62062-6901 | |
| (618) 288-9670 | |
| Not Available |
| Full Name | Foley Dental Group, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2016 Vadalabene Dr, Maryville, Illinois |
| Authorized Official Name and Position | Andrea Foley (OWNER) |
| Authorized Official Contact | 6182889670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foley Dental Group, Llc 2016 Vadalabene Dr Maryville IL 62062-6901 Ph: (618) 288-9670 | Foley Dental Group, Llc 2016 Vadalabene Dr Maryville IL 62062-6901 Ph: (618) 288-9670 |
| NPI Number | 1609018175 |
|---|---|
| Provider Enumeration Date | 03/30/2009 |
| Last Update Date | 03/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609018175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019026804 (Illinois) | Primary |
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