| Macomb Dental Center | |
|
1200 W Jackson Macomb IL 61455 | |
| (309) 836-6688 | |
| (309) 836-6119 |
| Full Name | Macomb Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1200 W Jackson, Macomb, Illinois |
| Authorized Official Name and Position | Amy Kroeger (INS COOD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Macomb Dental Center 1200 W Jackson Macomb IL 61455 Ph: (309) 836-6688 | Macomb Dental Center 1200 W Jackson Macomb IL 61455 Ph: (309) 836-6688 |
| NPI Number | 1396967741 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396967741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Buffalo Prairie Dental Care Of Macomb, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 S Mcarthur St, Macomb, IL 61455 Phone: 309-833-2882 Fax: 309-833-3210 |