| Naylor Periodontics, P.c. | |
|
4956 Autumn Oaks Dr Suite B Maryville IL 62062-8504 | |
| (618) 288-1550 | |
| (618) 288-0045 |
| Full Name | Naylor Periodontics, P.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 4956 Autumn Oaks Dr, Maryville, Illinois |
| Authorized Official Name and Position | Jeffrey Ryan Naylor (PRESIDENT) |
| Authorized Official Contact | 6182881550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Naylor Periodontics, P.c. 4956 Autumn Oaks Dr Suite B Maryville IL 62062-8504 Ph: (618) 288-1550 | Naylor Periodontics, P.c. 4956 Autumn Oaks Dr Suite B Maryville IL 62062-8504 Ph: (618) 288-1550 |
| NPI Number | 1528072477 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 01/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528072477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 021.002526 (Illinois) | Primary |
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