Gregg L. Painter, Dds, Pc | |
202 Summit St Galena IL 61036-1636 | |
(815) 777-2338 | |
(815) 777-2338 |
Full Name | Gregg L. Painter, Dds, Pc |
---|---|
Speciality | Dentist |
Location | 202 Summit St, Galena, Illinois |
Authorized Official Name and Position | Gregg L Painter (PRESIDENT) |
Authorized Official Contact | 8157772338 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gregg L. Painter, Dds, Pc 202 Summit St Galena IL 61036-1636 Ph: (815) 777-2338 | Gregg L. Painter, Dds, Pc 202 Summit St Galena IL 61036-1636 Ph: (815) 777-2338 |
NPI Number | 1255603288 |
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Provider Enumeration Date | 02/07/2012 |
Last Update Date | 02/07/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255603288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 060010749 (Illinois) | Primary |
Galena Family Dental, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 Summit St, Galena, IL 61036 Phone: 815-777-2338 Fax: 815-777-2338 |