| Pinckneyville Dental Care | |
|
1000 S Main St Pinckneyville IL 62274-1772 | |
| (618) 357-2445 | |
| (618) 357-9549 |
| Full Name | Pinckneyville Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1000 S Main St, Pinckneyville, Illinois |
| Authorized Official Name and Position | Ralph Kane Chapman (OWNER) |
| Authorized Official Contact | 6183572445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinckneyville Dental Care Po Box 469 Pinckneyville IL 62274-0469 Ph: (618) 357-2445 | Pinckneyville Dental Care 1000 S Main St Pinckneyville IL 62274-1772 Ph: (618) 357-2445 |
| NPI Number | 1104939735 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 07/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104939735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 19020196 (Illinois) | Primary |
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