| Neal Family Dentistry | |
|
3 Doctors Park Rd Mount Vernon IL 62864-6200 | |
| (618) 242-5054 | |
| (618) 242-9311 |
| Full Name | Neal Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 3 Doctors Park Rd, Mount Vernon, Illinois |
| Authorized Official Name and Position | Michael Wes Neal (DENTIST) |
| Authorized Official Contact | 6182425054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neal Family Dentistry 3 Doctors Park Rd Mount Vernon IL 62864-6200 Ph: (618) 242-5054 | Neal Family Dentistry 3 Doctors Park Rd Mount Vernon IL 62864-6200 Ph: (618) 242-5054 |
| NPI Number | 1538607593 |
|---|---|
| Provider Enumeration Date | 02/09/2017 |
| Last Update Date | 02/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538607593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019.030185 (Illinois) | Primary |
| 122300000X | Dentist | 019.016293 (Illinois) | Secondary |
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