| Philco Dental Group Llc - Champaign | |
|
1902 N Prospect Ave Ste 1 Champaign IL 61822-1411 | |
| (217) 204-9025 | |
| Not Available |
| Full Name | Philco Dental Group Llc - Champaign |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1902 N Prospect Ave Ste 1, Champaign, Illinois |
| Authorized Official Name and Position | Aaron Phillips (OWNER) |
| Authorized Official Contact | 2172049025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philco Dental Group Llc - Champaign Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Philco Dental Group Llc - Champaign 1902 N Prospect Ave Ste 1 Champaign IL 61822-1411 Ph: (217) 204-9025 |
| NPI Number | 1548772114 |
|---|---|
| Provider Enumeration Date | 11/03/2017 |
| Last Update Date | 06/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548772114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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