| Middleton Dental Llc | |
|
231 N Bruns Ln Building C Springfield IL 62702-4612 | |
| (217) 546-9097 | |
| Not Available |
| Full Name | Middleton Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 231 N Bruns Ln, Springfield, Illinois |
| Authorized Official Name and Position | John Zachary Middleton (DENTIST) |
| Authorized Official Contact | 2175469097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middleton Dental Llc 231 N Bruns Ln Building C Springfield IL 62702-4612 Ph: (217) 546-9097 | Middleton Dental Llc 231 N Bruns Ln Building C Springfield IL 62702-4612 Ph: (217) 546-9097 |
| NPI Number | 1609261346 |
|---|---|
| Provider Enumeration Date | 03/31/2015 |
| Last Update Date | 03/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609261346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019029902 (Illinois) | Primary |
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