Illinois Endodontics, Llc | |
2916 Crossing Ct Ste C Champaign IL 61822-5900 | |
(217) 352-5809 | |
(217) 352-5812 |
Full Name | Illinois Endodontics, Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 2916 Crossing Ct Ste C, Champaign, Illinois |
Authorized Official Name and Position | Heath Grote (OWNER / DENTIST) |
Authorized Official Contact | 2173771499 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Illinois Endodontics, Llc 1508 River Bluff Ct Mahomet IL 61853-3677 Ph: (217) 377-1499 | Illinois Endodontics, Llc 2916 Crossing Ct Ste C Champaign IL 61822-5900 Ph: (217) 352-5809 |
NPI Number | 1629780267 |
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Provider Enumeration Date | 12/14/2022 |
Last Update Date | 12/14/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629780267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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