| Maple Shade Dental Group | |
|
11825 N Knoxville Ave Dunlap IL 61525 | |
| (309) 243-7702 | |
| (309) 243-9559 |
| Full Name | Maple Shade Dental Group |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 11825 N Knoxville Ave, Dunlap, Illinois |
| Authorized Official Name and Position | Rodney Earl Willey (CEO) |
| Authorized Official Contact | 3092437702 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maple Shade Dental Group 11825 N Knoxville Ave Dunlap IL 61525 Ph: (309) 243-7702 | Maple Shade Dental Group 11825 N Knoxville Ave Dunlap IL 61525 Ph: (309) 243-7702 |
| NPI Number | 1427116854 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427116854 | NPI | - | NPPES |
Maple Shade Dental (dunlap) Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11825 State Route 40, Suite 200, Dunlap, IL 61525 Phone: 309-243-7702 Fax: 309-243-9061 | |
Koala Center For Sleep & Tmj Disorders Mi-1 Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11825 State Route 40, Suite 100, Dunlap, IL 61525 Phone: 309-839-9971 Fax: 309-807-3365 | |
Illinois Institute Of Dental Sleep Medicine Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11825 State Route 40 Ste 100, Dunlap, IL 61525 Phone: 309-243-8980 | |
Illinois Institute Of Dental Sleep Medicine Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 11825 State Route 40, Dunlap, IL 61525 Phone: 309-243-9239 |