| Midwest Family Dentistry Pc | |
|
10 Apex Dr Ste 2 Highland IL 62249-1296 | |
| (618) 654-2080 | |
| (618) 654-2090 |
| Full Name | Midwest Family Dentistry Pc |
|---|---|
| Speciality | Dentist |
| Location | 10 Apex Dr Ste 2, Highland, Illinois |
| Authorized Official Name and Position | Laney Elayne Schuman-boys (PRESIDENT) |
| Authorized Official Contact | 6186542080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Family Dentistry Pc 10 Apex Dr Ste 2 Highland IL 62249-1296 Ph: (618) 654-2080 | Midwest Family Dentistry Pc 10 Apex Dr Ste 2 Highland IL 62249-1296 Ph: (618) 654-2080 |
| NPI Number | 1437539350 |
|---|---|
| Provider Enumeration Date | 06/05/2015 |
| Last Update Date | 08/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437539350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019023663 (Illinois) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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