Quincy Dental Center | |
332 S 36th St Suite 1 Quincy IL 62301-5808 | |
(217) 224-0426 | |
(217) 224-1402 |
Full Name | Quincy Dental Center |
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Speciality | Clinic/center - Dental |
Location | 332 S 36th St, Quincy, Illinois |
Authorized Official Name and Position | Jennifer Suzanne Pritts (DENTIST/PRESIDENT) |
Authorized Official Contact | 2172240426 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Quincy Dental Center 332 S 36th St Suite 1 Quincy IL 62301-5808 Ph: (217) 224-0426 | Quincy Dental Center 332 S 36th St Suite 1 Quincy IL 62301-5808 Ph: (217) 224-0426 |
NPI Number | 1871994723 |
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Provider Enumeration Date | 09/10/2014 |
Last Update Date | 09/10/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871994723 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 019-027702 (Illinois) | Primary |
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