| Quincy Family Dental Care | |
|
1891 Maine St Ste. 1 Quincy IL 62301-4272 | |
| (217) 223-7051 | |
| (217) 223-7429 |
| Full Name | Quincy Family Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 1891 Maine St, Quincy, Illinois |
| Authorized Official Name and Position | Tessa Jean Johnson (OWNER/DENTIST) |
| Authorized Official Contact | 2172237051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quincy Family Dental Care 1891 Maine St Ste. 1 Quincy IL 62301-4272 Ph: (217) 223-7051 | Quincy Family Dental Care 1891 Maine St Ste. 1 Quincy IL 62301-4272 Ph: (217) 223-7051 |
| NPI Number | 1821318908 |
|---|---|
| Provider Enumeration Date | 06/11/2010 |
| Last Update Date | 06/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821318908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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