| Mycharlestondentist.com | |
|
826 W Lincoln Avenue Suite A Charleston IL 61920 | |
| (217) 345-1315 | |
| (217) 345-1291 |
| Full Name | Mycharlestondentist.com |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 826 W Lincoln Avenue, Charleston, Illinois |
| Authorized Official Name and Position | Lindsay Bearden (INS COOD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mycharlestondentist.com 826 W Lincoln Avenue Suite A Charleston IL 61920 Ph: (217) 345-1315 | Mycharlestondentist.com 826 W Lincoln Avenue Suite A Charleston IL 61920 Ph: (217) 345-1315 |
| NPI Number | 1013139609 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013139609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Coles County Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 826 W Lincoln, Suite B, Charleston, IL 61920 Phone: 217-345-5250 Fax: 217-345-5390 | |
Charleston Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 18th St, Charleston, IL 61920 Phone: 217-348-7770 Fax: 217-348-9279 |