| Orchard Crossing Family Dentistry | |
|
2080 Orchard Rd Montgomery IL 60538-1059 | |
| (630) 859-3550 | |
| Not Available |
| Full Name | Orchard Crossing Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2080 Orchard Rd, Montgomery, Illinois |
| Authorized Official Name and Position | John P Gaspard (OWNER/DOCTOR) |
| Authorized Official Contact | 6308593550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orchard Crossing Family Dentistry 2080 Orchard Rd Montgomery IL 60538-1059 Ph: (630) 859-3550 | Orchard Crossing Family Dentistry 2080 Orchard Rd Montgomery IL 60538-1059 Ph: (630) 859-3550 |
| NPI Number | 1356670202 |
|---|---|
| Provider Enumeration Date | 12/23/2009 |
| Last Update Date | 12/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356670202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019026445 (Illinois) | Primary |
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