| Prairie Place Family Dental | |
|
1010 W Us Route 6 Morris IL 60450-8942 | |
| (815) 416-9257 | |
| Not Available |
| Full Name | Prairie Place Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1010 W Us Route 6, Morris, Illinois |
| Authorized Official Name and Position | Kim Wilson (CRED SUPERVISOR) |
| Authorized Official Contact | 2175405170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Place Family Dental 1010 W Us Route 6 Morris IL 60450-8942 Ph: (815) 416-9257 | Prairie Place Family Dental 1010 W Us Route 6 Morris IL 60450-8942 Ph: (815) 416-9257 |
| NPI Number | 1306240437 |
|---|---|
| Provider Enumeration Date | 10/17/2014 |
| Last Update Date | 10/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306240437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Keith W Jaeschke Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 Creek Dr, Morris, IL 60450 Phone: 815-942-0182 Fax: 815-942-0966 | |
Dr. Matthew P. Bell And Associates Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 Creek Dr, Morris, IL 60450 Phone: 815-942-0182 Fax: 815-941-2482 | |
Keith W. Jaeschke D.d.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 Creek Dr, Morris, IL 60450 Phone: 815-942-0182 |