| Frances Nelson Dental Center | |
|
819 Bloomington Rd Champaign IL 61820 | |
| (217) 356-1558 | |
| Not Available |
| Full Name | Frances Nelson Dental Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 819 Bloomington Rd, Champaign, Illinois |
| Authorized Official Name and Position | Jennifer Henry (CFO) |
| Authorized Official Contact | 2174035401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frances Nelson Dental Center 819 Bloomington Rd Champaign IL 61820-2101 Ph: (217) 356-1558 | Frances Nelson Dental Center 819 Bloomington Rd Champaign IL 61820 Ph: (217) 356-1558 |
| NPI Number | 1407199391 |
|---|---|
| Provider Enumeration Date | 03/29/2013 |
| Last Update Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407199391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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