| Robert W Overdorf Dds, Ltd | |
|
11 S 2nd Ave Suite 11 St Charles IL 60174-1941 | |
| (630) 377-1200 | |
| Not Available |
| Full Name | Robert W Overdorf Dds, Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11 S 2nd Ave, St Charles, Illinois |
| Authorized Official Name and Position | Robert W Overdorf (PRESIDENT) |
| Authorized Official Contact | 6303771200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert W Overdorf Dds, Ltd 11 S 2nd Ave Suite 11 St Charles IL 60174-1941 Ph: (630) 377-1200 | Robert W Overdorf Dds, Ltd 11 S 2nd Ave Suite 11 St Charles IL 60174-1941 Ph: (630) 377-1200 |
| NPI Number | 1003959172 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 12/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003959172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019.014949 (Illinois) | Primary |
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