| Kravanya & Boente Family Dentistry | |
|
204 Oakland Ave Carlinville IL 62626 | |
| (217) 854-6505 | |
| (217) 854-6505 |
| Full Name | Kravanya & Boente Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 204 Oakland Ave, Carlinville, Illinois |
| Authorized Official Name and Position | Nicolas Eric Kravanya (DENTIST/OWNER) |
| Authorized Official Contact | 2178544741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kravanya & Boente Family Dentistry 204 Oakland Ave Carlinville IL 62626 Ph: (217) 854-4741 | Kravanya & Boente Family Dentistry 204 Oakland Ave Carlinville IL 62626 Ph: (217) 854-6505 |
| NPI Number | 1255412599 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 12/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255412599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019018555 (Illinois) | Primary |
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