| Modern Dental Of Springfield Pllc | |
|
3240 Hedley Rd Ste B Springfield IL 62711-6360 | |
| (217) 698-3400 | |
| (217) 698-3410 |
| Full Name | Modern Dental Of Springfield Pllc |
|---|---|
| Speciality | Dentist |
| Location | 3240 Hedley Rd Ste B, Springfield, Illinois |
| Authorized Official Name and Position | Michael Allen Morley (PARTNER) |
| Authorized Official Contact | 2176983400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Dental Of Springfield Pllc 3240 Hedley Rd Ste B Springfield IL 62711-6360 Ph: (217) 698-3400 | Modern Dental Of Springfield Pllc 3240 Hedley Rd Ste B Springfield IL 62711-6360 Ph: (217) 698-3400 |
| NPI Number | 1013593953 |
|---|---|
| Provider Enumeration Date | 03/22/2021 |
| Last Update Date | 03/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013593953 | NPI | - | NPPES |
| 1083793939 | Other | IL | DENTIST |
| 1528441557 | Other | IL | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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