| Main Street Commons Dental Care | |
|
202 S. Kirk Rd. St Charles IL 60174-2429 | |
| (630) 513-6760 | |
| (630) 513-7137 |
| Full Name | Main Street Commons Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 202 S. Kirk Rd., St Charles, Illinois |
| Authorized Official Name and Position | Paul R Maco (OWNER) |
| Authorized Official Contact | 6305136760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Commons Dental Care 202 S. Kirk Rd. St Charles IL 60174-2429 Ph: (630) 513-6760 | Main Street Commons Dental Care 202 S. Kirk Rd. St Charles IL 60174-2429 Ph: (630) 513-6760 |
| NPI Number | 1447347125 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 05/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447347125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 060009365 (Illinois) | Primary |
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