Atlas Dental | |
110 E Broadway Ave Alexis IL 61412-5042 | |
(309) 787-2440 | |
Not Available |
Full Name | Atlas Dental |
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Speciality | Clinic/center - Dental |
Location | 110 E Broadway Ave, Alexis, Illinois |
Authorized Official Name and Position | Scott Morris (OWNER) |
Authorized Official Contact | 3097872440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Atlas Dental 110 E Broadway Ave Alexis IL 61412-5042 Ph: (309) 787-2440 | Atlas Dental 110 E Broadway Ave Alexis IL 61412-5042 Ph: (309) 787-2440 |
NPI Number | 1588975031 |
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Provider Enumeration Date | 06/30/2010 |
Last Update Date | 04/16/2020 |
Identifier | Type | State | Issuer |
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1588975031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 019.027320 (Illinois) | Primary |