Jill Kinsella Dmd Llc | |
703 Seibert Rd. Suite 5 Scott Afb IL 62225 | |
(618) 744-1969 | |
(618) 744-1986 |
Full Name | Jill Kinsella Dmd Llc |
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Speciality | Dentist |
Location | 703 Seibert Rd., Scott Afb, Illinois |
Authorized Official Name and Position | Jill Anne Kinsella (OWNER/DENTIST) |
Authorized Official Contact | 6187441969 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jill Kinsella Dmd Llc 703 Seibert Rd. Suite 5 Scott Afb IL 62225 Ph: (618) 744-1969 | Jill Kinsella Dmd Llc 703 Seibert Rd. Suite 5 Scott Afb IL 62225 Ph: (618) 744-1969 |
NPI Number | 1043589526 |
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Provider Enumeration Date | 12/29/2011 |
Last Update Date | 06/21/2018 |
Identifier | Type | State | Issuer |
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1043589526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 019027404 (Illinois) | Primary |