Joseph M. Pope D.d.s.,ltd. | |
4410 N Knoxville Ave Ste C Peoria IL 61614-6083 | |
(309) 688-7007 | |
Not Available |
Full Name | Joseph M. Pope D.d.s.,ltd. |
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Speciality | Dentist - General Practice |
Location | 4410 N Knoxville Ave Ste C, Peoria, Illinois |
Authorized Official Name and Position | Joseph Michael Pope (PRESIDENT) |
Authorized Official Contact | 3096887007 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Joseph M. Pope D.d.s.,ltd. 4410 N Knoxville Ave Ste C Peoria IL 61614-6083 Ph: (309) 688-7007 | Joseph M. Pope D.d.s.,ltd. 4410 N Knoxville Ave Ste C Peoria IL 61614-6083 Ph: (309) 688-7007 |
NPI Number | 1932390200 |
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Provider Enumeration Date | 08/05/2007 |
Last Update Date | 08/05/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932390200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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