Katharine Mcginnis D.m.d. P.c. | |
235 A. South Main St Edwardsville IL 62025 | |
(618) 656-0451 | |
(618) 656-9130 |
Full Name | Katharine Mcginnis D.m.d. P.c. |
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Speciality | Dentist - General Practice |
Location | 235 A. South 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. 235 A. South Main St Edwardsville IL 62025 Ph: (618) 656-0451 | Katharine Mcginnis D.m.d. P.c. 235 A. South Main St Edwardsville IL 62025 Ph: (618) 656-0451 |
NPI Number | 1194376640 |
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Provider Enumeration Date | 09/26/2019 |
Last Update Date | 09/26/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194376640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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