| Mid-illinois Dental Clinic, Llc | |
|
101 S Cherokee St Taylorville IL 62568-2605 | |
| (217) 824-2201 | |
| Not Available |
| Full Name | Mid-illinois Dental Clinic, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 101 S Cherokee St, Taylorville, Illinois |
| Authorized Official Name and Position | Benjamin Patrick Sowle (OWNER) |
| Authorized Official Contact | 2174144919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-illinois Dental Clinic, Llc 1211 Peachtree Dr Chatham IL 62629-8058 Ph: (217) 414-4919 | Mid-illinois Dental Clinic, Llc 101 S Cherokee St Taylorville IL 62568-2605 Ph: (217) 824-2201 |
| NPI Number | 1144830621 |
|---|---|
| Provider Enumeration Date | 08/09/2020 |
| Last Update Date | 08/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144830621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Central Counties Health Centers, Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 1141 N Cheney St, Taylorville, IL 62568 Phone: 217-788-2300 Fax: 217-788-2342 | |
Mid-illinois Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Cherokee St, Taylorville, IL 62568 Phone: 217-824-2201 Fax: 217-824-2202 | |
Dr Timothy Hutson Dentist Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 929 W Spresser St, Taylorville, IL 62568 Phone: 217-287-7969 Fax: 217-287-1478 | |
Miles Of Smiles, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2604 Lincoln Trl, Taylorville, IL 62568 Phone: 039-382-6404 Fax: 309-382-6405 |