| Hentscher-johnson Orthodontics | |
|
200 E Mill St Waterloo IL 62298-1519 | |
| (618) 939-2900 | |
| (888) 908-5295 |
| Full Name | Hentscher-johnson Orthodontics |
|---|---|
| Speciality | Dentist |
| Location | 200 E Mill St, Waterloo, Illinois |
| Authorized Official Name and Position | Jodi Kay Hentscher-johnson (DENTIST/ORTHODONTIST) |
| Authorized Official Contact | 6189392900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hentscher-johnson Orthodontics 200 E Mill St Waterloo IL 62298-1519 Ph: (618) 939-2900 | Hentscher-johnson Orthodontics 200 E Mill St Waterloo IL 62298-1519 Ph: (618) 939-2900 |
| NPI Number | 1750648564 |
|---|---|
| Provider Enumeration Date | 04/18/2012 |
| Last Update Date | 04/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750648564 | NPI | - | NPPES |
| 1942577234 | Other | IL | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019.028038 (Illinois) | Primary |
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