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1379 N Outer Belt W Effingham IL 62401-3182 | |
(217) 540-5000 | |
(217) 342-2557 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1379 N Outer Belt W, Effingham, Illinois |
Authorized Official Name and Position | Lindsay Bearden (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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1379 N Outer Belt W Effingham IL 62401-3182 Ph: (217) 540-5000 | 1379 N Outer Belt W Effingham IL 62401-3182 Ph: (217) 540-5000 |
NPI Number | 1114139011 |
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Provider Enumeration Date | 05/04/2007 |
Last Update Date | 04/17/2019 |
Identifier | Type | State | Issuer |
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1114139011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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