| O'fallon Family Dental Care | |
|
105 Regency Park Suite 2 Ofallon IL 62269 | |
| (618) 628-1646 | |
| (618) 628-1643 |
| Full Name | O'fallon Family Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 105 Regency Park, Ofallon, 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 |
|---|---|
| O'fallon Family Dental Care 105 Regency Park Suite 2 Ofallon IL 62269 Ph: (618) 628-1646 | O'fallon Family Dental Care 105 Regency Park Suite 2 Ofallon IL 62269 Ph: (618) 628-1646 |
| NPI Number | 1447472709 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 01/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447472709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Green Mount Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1490 North Greenmount Road, Suite A, Ofallon, IL 62269 Phone: 618-622-9720 Fax: 618-622-1700 | |
Cambridge Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1490 North Greenmount Road, Suite B, Ofallon, IL 62269 Phone: 618-632-1603 Fax: 618-632-6034 |