| Parkview Dental, Llc | |
|
728 S Main St Columbia IL 62236-2429 | |
| (618) 281-1888 | |
| (618) 281-1889 |
| Full Name | Parkview Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 728 S Main St, Columbia, Illinois |
| Authorized Official Name and Position | Christopher Scott Pugeda (DMD) |
| Authorized Official Contact | 6182811888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkview Dental, Llc 728 S Main St Columbia IL 62236-2429 Ph: (618) 281-1888 | Parkview Dental, Llc 728 S Main St Columbia IL 62236-2429 Ph: (618) 281-1888 |
| NPI Number | 1881791002 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 02/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881791002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019025365 (Illinois) | Primary |
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