| Market Street Family Dentist, Pc | |
|
550 Edwardsville Rd Troy IL 62294-1338 | |
| (618) 667-3446 | |
| Not Available |
| Full Name | Market Street Family Dentist, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 550 Edwardsville Rd, Troy, Illinois |
| Authorized Official Name and Position | Beau Moody (PRESIDENT) |
| Authorized Official Contact | 6186676101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Market Street Family Dentist, Pc 212 E Market St Troy IL 62294-1512 Ph: (618) 667-6101 | Market Street Family Dentist, Pc 550 Edwardsville Rd Troy IL 62294-1338 Ph: (618) 667-3446 |
| NPI Number | 1750127601 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750127601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Market Street Family Dentist, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 E Market St, Troy, IL 62294 Phone: 618-667-6101 | |
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