| Kay & Mccullum Orthodontics | |
|
25 Boulder Hill Pass Montgomery IL 60538-1911 | |
| (630) 896-2779 | |
| (630) 896-9252 |
| Full Name | Kay & Mccullum Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 25 Boulder Hill Pass, Montgomery, Illinois |
| Authorized Official Name and Position | C. Neil Kay (OWNER/DOCTOR) |
| Authorized Official Contact | 6308962779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kay & Mccullum Orthodontics 25 Boulder Hill Pass Montgomery IL 60538-1911 Ph: (630) 896-2779 | Kay & Mccullum Orthodontics 25 Boulder Hill Pass Montgomery IL 60538-1911 Ph: (630) 896-2779 |
| NPI Number | 1902882103 |
|---|---|
| Provider Enumeration Date | 12/20/2005 |
| Last Update Date | 05/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902882103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 021001221 (Illinois) | Primary |
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