| Nameoki Dental Care | |
|
3429 Nameoki Rd Granite City IL 62040-3709 | |
| (618) 452-2006 | |
| (618) 452-3077 |
| Full Name | Nameoki Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 3429 Nameoki Rd, Granite City, Illinois |
| Authorized Official Name and Position | Amanda Henderson (BUSINESS ASSISTANT) |
| Authorized Official Contact | 6182886201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nameoki Dental Care 26 Ginger Creek Pkwy Po Box 430 Glen Carbon IL 62034-3502 Ph: (618) 288-6201 | Nameoki Dental Care 3429 Nameoki Rd Granite City IL 62040-3709 Ph: (618) 452-2006 |
| NPI Number | 1104098144 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 05/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104098144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019025159 (Illinois) | Primary |
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