Green Mount Family Dentistry | |
1490 North Greenmount Road Suite A Ofallon IL 62269 | |
(618) 622-9720 | |
(618) 622-1700 |
Full Name | Green Mount Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 1490 North Greenmount Road, Ofallon, Illinois |
Authorized Official Name and Position | Amy Kroeger (INS COOD) |
Authorized Official Contact | 2175405100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Green Mount Family Dentistry 1490 North Greenmount Road Suite A Ofallon IL 62269 Ph: (618) 622-9720 | Green Mount Family Dentistry 1490 North Greenmount Road Suite A Ofallon IL 62269 Ph: (618) 622-9720 |
NPI Number | 1376756635 |
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Provider Enumeration Date | 05/07/2007 |
Last Update Date | 05/21/2008 |
Identifier | Type | State | Issuer |
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1376756635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
O'fallon Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Regency Park, Suite 2, Ofallon, IL 62269 Phone: 618-628-1646 Fax: 618-628-1643 | |
Cambridge Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1490 North Greenmount Road, Suite B, Ofallon, IL 62269 Phone: 618-632-1603 Fax: 618-632-6034 |