| Schon Dental, Llc | |
|
2809 Mansion Road Suite D Springfield IL 62711 | |
| (217) 697-5190 | |
| (217) 483-7177 |
| Full Name | Schon Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2809 Mansion Road Suite D, Springfield, Illinois |
| Authorized Official Name and Position | Joshua Renken (DOCTOR/OWNER) |
| Authorized Official Contact | 2176975190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Schon Dental, Llc 2809 Mansion Road Suite D Springfield IL 62711 Ph: (217) 697-5190 | Schon Dental, Llc 2809 Mansion Road Suite D Springfield IL 62711 Ph: (217) 697-5190 |
| NPI Number | 1306249248 |
|---|---|
| Provider Enumeration Date | 10/07/2014 |
| Last Update Date | 10/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306249248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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