| Richard M. Vanburk, D.m.d., P.c. | |
|
610 N Logan Ave Danville IL 61832-4321 | |
| (217) 442-3385 | |
| (217) 442-2517 |
| Full Name | Richard M. Vanburk, D.m.d., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 610 N Logan Ave, Danville, Illinois |
| Authorized Official Name and Position | Richard Mark Vanburk (OWNER) |
| Authorized Official Contact | 2174423385 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard M. Vanburk, D.m.d., P.c. 610 N Logan Ave Danville IL 61832-4321 Ph: (217) 442-3385 | Richard M. Vanburk, D.m.d., P.c. 610 N Logan Ave Danville IL 61832-4321 Ph: (217) 442-3385 |
| NPI Number | 1205180577 |
|---|---|
| Provider Enumeration Date | 11/07/2012 |
| Last Update Date | 11/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205180577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019016797 (Illinois) | Primary |
Crossing Dental Care Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 733 N Logan Ave Ste 2, Danville, IL 61832 Phone: 217-442-0892 | |
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