| J Franklin Whipps | |
|
1020 Jonas Street Centralia IL 62801 | |
| (618) 532-1821 | |
| (618) 532-1915 |
| Full Name | J Franklin Whipps |
|---|---|
| Speciality | Dentist |
| Location | 1020 Jonas Street, Centralia, Illinois |
| Authorized Official Name and Position | John Franklin Whipps (OWNER PRESIDENT) |
| Authorized Official Contact | 6185321821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Franklin Whipps 1020 Jonas Street Centralia IL 62801 Ph: (618) 532-1821 | J Franklin Whipps 1020 Jonas Street Centralia IL 62801 Ph: (618) 532-1821 |
| NPI Number | 1952576597 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952576597 | NPI | - | NPPES |
| 1004783 | Other | IL | DORAL |
| 789671 | Other | IL | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019013703DENTIST (Illinois) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 021000787ORTHODONTIS (Illinois) | Secondary |
Samuel M Smith Dmd Phd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 East Mccord St, Centralia, IL 62801 Phone: 618-532-1879 Fax: 618-532-0479 | |
Shah Dental Clinic,llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 S Sycamore St, Centralia, IL 62801 Phone: 618-532-1411 Fax: 618-532-1496 |