| Kisner Dentistry | |
|
414 S Chestnut St Kewanee IL 61443-2804 | |
| (309) 853-3393 | |
| Not Available |
| Full Name | Kisner Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 414 S Chestnut St, Kewanee, Illinois |
| Authorized Official Name and Position | Sharon L Loso (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5635821448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kisner Dentistry 40 Main St Ste 100 Dubuque IA 52001-7654 Ph: (563) 582-1448 | Kisner Dentistry 414 S Chestnut St Kewanee IL 61443-2804 Ph: (309) 853-3393 |
| NPI Number | 1346729019 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 07/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346729019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Smile With Us Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 529 Tenney St, Kewanee, IL 61443 Phone: 773-733-6344 |