| Katharine Mcginnis D.m.d. P.c. | |
|
235a S Main St Edwardsville IL 62025-1921 | |
| (618) 656-0451 | |
| (618) 656-9031 |
| Full Name | Katharine Mcginnis D.m.d. P.c. |
|---|---|
| Speciality | Dentist |
| Location | 235a S Main St, Edwardsville, Illinois |
| Authorized Official Name and Position | Katharine Marie Mcginnis (PRESIDENT) |
| Authorized Official Contact | 6186560451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katharine Mcginnis D.m.d. P.c. 235a S Main St Edwardsville IL 62025-1921 Ph: (618) 656-0451 | Katharine Mcginnis D.m.d. P.c. 235a S Main St Edwardsville IL 62025-1921 Ph: (618) 656-0451 |
| NPI Number | 1063679041 |
|---|---|
| Provider Enumeration Date | 05/19/2008 |
| Last Update Date | 05/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063679041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019026200 (Illinois) | Primary |
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