| Oakland Dental Care P.c. | |
|
305 S Oakland Ave Carbondale IL 62901-2545 | |
| (618) 549-2166 | |
| (618) 529-4128 |
| Full Name | Oakland Dental Care P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 305 S Oakland Ave, Carbondale, Illinois |
| Authorized Official Name and Position | Douglas J Baker (PRESIDENT/DENTIST) |
| Authorized Official Contact | 6185492166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oakland Dental Care P.c. 305 S Oakland Ave Carbondale IL 62901-2545 Ph: (618) 549-2166 | Oakland Dental Care P.c. 305 S Oakland Ave Carbondale IL 62901-2545 Ph: (618) 549-2166 |
| NPI Number | 1154561108 |
|---|---|
| Provider Enumeration Date | 03/04/2009 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154561108 | NPI | - | NPPES |
| 1001129 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
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