| Miles Of Smiles, Ltd | |
|
2604 Lincoln Trl Taylorville IL 62568-9718 | |
| (039) 382-6404 | |
| (309) 382-6405 |
| Full Name | Miles Of Smiles, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2604 Lincoln Trl, Taylorville, Illinois |
| Authorized Official Name and Position | David R Trost (PRESIDENT) |
| Authorized Official Contact | 3093826404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miles Of Smiles, Ltd 137 Radio City Dr Ste C North Pekin IL 61554-1570 Ph: (309) 382-6404 | Miles Of Smiles, Ltd 2604 Lincoln Trl Taylorville IL 62568-9718 Ph: (039) 382-6404 |
| NPI Number | 1710311386 |
|---|---|
| Provider Enumeration Date | 08/30/2013 |
| Last Update Date | 08/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710311386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019.016607 (Illinois) | Primary |
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