| Gaitros Dental Center | |
|
1080 E Mound Rd Decatur IL 62526-9385 | |
| (218) 750-5020 | |
| (217) 875-0235 |
| Full Name | Gaitros Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 1080 E Mound Rd, Decatur, Illinois |
| Authorized Official Name and Position | Leeanne Oakley (OFFICE MANAGER) |
| Authorized Official Contact | 2178755020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaitros Dental Center 1080 E Mound Rd Decatur IL 62526-9385 Ph: (217) 875-5020 | Gaitros Dental Center 1080 E Mound Rd Decatur IL 62526-9385 Ph: (218) 750-5020 |
| NPI Number | 1740426188 |
|---|---|
| Provider Enumeration Date | 01/06/2009 |
| Last Update Date | 01/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740426188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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