Jeanine Huddlestun-johns D.d.s. | |
605 South Vanburen Newton IL 62448 | |
(618) 783-3714 | |
(618) 783-3294 |
Full Name | Jeanine Huddlestun-johns D.d.s. |
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Speciality | Clinic/center - Dental |
Location | 605 South Vanburen, Newton, Illinois |
Authorized Official Name and Position | Jeanine Marie Huddlestun-johns (OWNER) |
Authorized Official Contact | 6187833714 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jeanine Huddlestun-johns D.d.s. 605 South Vanburen Newton IL 62448 Ph: (618) 783-3714 | Jeanine Huddlestun-johns D.d.s. 605 South Vanburen Newton IL 62448 Ph: (618) 783-3714 |
NPI Number | 1497925184 |
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Provider Enumeration Date | 03/10/2008 |
Last Update Date | 03/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497925184 | NPI | - | NPPES |
180942 | Medicaid | IL | |
101119 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (Illinois) | Primary |