Praireland Dental | |
635 W Elm St Olney IL 62450-1620 | |
(618) 392-7481 | |
Not Available |
Full Name | Praireland Dental |
---|---|
Speciality | Clinic/center - Dental |
Location | 635 W Elm St, Olney, Illinois |
Authorized Official Name and Position | Don E Abel (PRESIDENT) |
Authorized Official Contact | 6183927481 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Praireland Dental 635 W Elm St Po Box 296 Olney IL 62450-1620 Ph: (618) 392-7481 | Praireland Dental 635 W Elm St Olney IL 62450-1620 Ph: (618) 392-7481 |
NPI Number | 1619220852 |
---|---|
Provider Enumeration Date | 10/25/2012 |
Last Update Date | 10/25/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619220852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 060002438 (Illinois) | Primary |