Frank Scott Parkway Pc | |
4933 Benchmark Centre Dr Ste A Swansea IL 62226-8927 | |
(618) 632-6100 | |
(618) 632-6156 |
Full Name | Frank Scott Parkway Pc |
---|---|
Speciality | Dentist |
Location | 4933 Benchmark Centre Dr Ste A, Swansea, Illinois |
Authorized Official Name and Position | Ray Crisio (DENTIST) |
Authorized Official Contact | 6186326100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Frank Scott Parkway Pc 4933 Benchmark Centre Dr Ste A Swansea IL 62226-8927 Ph: (618) 632-6100 | Frank Scott Parkway Pc 4933 Benchmark Centre Dr Ste A Swansea IL 62226-8927 Ph: (618) 632-6100 |
NPI Number | 1235357039 |
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Provider Enumeration Date | 04/24/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235357039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (Illinois) | Primary |
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