| Severs Orthodontics Llc | |
|
3915 Maine St Ste 2 Quincy IL 62305-5843 | |
| (309) 255-5169 | |
| Not Available |
| Full Name | Severs Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3915 Maine St Ste 2, Quincy, Illinois |
| Authorized Official Name and Position | Grant Steven Severs (PRESIDENT) |
| Authorized Official Contact | 2179195008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Severs Orthodontics Llc 3915 Maine St Ste 2 Quincy IL 62305-5843 Ph: (309) 255-5169 | Severs Orthodontics Llc 3915 Maine St Ste 2 Quincy IL 62305-5843 Ph: (309) 255-5169 |
| NPI Number | 1972377174 |
|---|---|
| Provider Enumeration Date | 11/08/2023 |
| Last Update Date | 11/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972377174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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