| Smalltown Dental Chillicothe Llc | |
|
1008 N 4th St Ste B Chillicothe IL 61523-1574 | |
| (309) 274-3820 | |
| Not Available |
| Full Name | Smalltown Dental Chillicothe Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1008 N 4th St Ste B, Chillicothe, Illinois |
| Authorized Official Name and Position | Luke Overcash (CIO) |
| Authorized Official Contact | 3093705853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smalltown Dental Chillicothe Llc 17471 Moore Rd Morton IL 61550-9222 Ph: (309) 370-5853 | Smalltown Dental Chillicothe Llc 1008 N 4th St Ste B Chillicothe IL 61523-1574 Ph: (309) 274-3820 |
| NPI Number | 1477214484 |
|---|---|
| Provider Enumeration Date | 01/03/2022 |
| Last Update Date | 01/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477214484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Chillicothe Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 N. 4th St., Chillicothe, IL 61523 Phone: 309-274-3820 Fax: 309-274-6088 |