| Sauk Valley Orthodontics, Pc | |
|
122 E Everett St Dixon IL 61021-2140 | |
| (815) 564-2294 | |
| Not Available |
| Full Name | Sauk Valley Orthodontics, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 122 E Everett St, Dixon, Illinois |
| Authorized Official Name and Position | Neal Jones (ORTHODONTIST, OWNER) |
| Authorized Official Contact | 8155642294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sauk Valley Orthodontics, Pc 122 E Everett St Dixon IL 61021-2140 Ph: (815) 564-2294 | Sauk Valley Orthodontics, Pc 122 E Everett St Dixon IL 61021-2140 Ph: (815) 564-2294 |
| NPI Number | 1962832915 |
|---|---|
| Provider Enumeration Date | 11/12/2013 |
| Last Update Date | 11/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962832915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 019027845 (Illinois) | Primary |
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