Smalltown Dental Atlanta | |
205 S Race St Atlanta IL 61723-7586 | |
(217) 648-2828 | |
Not Available |
Full Name | Smalltown Dental Atlanta |
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Speciality | Clinic/center - Dental |
Location | 205 S Race St, Atlanta, Illinois |
Authorized Official Name and Position | Luke Overcash (OPERATIONS MANAGER) |
Authorized Official Contact | 3093705853 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smalltown Dental Atlanta Po Box 445 Atlanta IL 61723-0445 Ph: (217) 648-2828 | Smalltown Dental Atlanta 205 S Race St Atlanta IL 61723-7586 Ph: (217) 648-2828 |
NPI Number | 1417515453 |
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Provider Enumeration Date | 06/04/2019 |
Last Update Date | 06/29/2020 |
Identifier | Type | State | Issuer |
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1417515453 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |