Smalltown Dental Hopedale | |
124 Nw Main St Hopedale IL 61747-7511 | |
(309) 449-3371 | |
Not Available |
Full Name | Smalltown Dental Hopedale |
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Speciality | Dentist - General Practice |
Location | 124 Nw Main St, Hopedale, 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 Hopedale Po Box 303 Hopedale IL 61747-0303 Ph: (309) 449-3371 | Smalltown Dental Hopedale 124 Nw Main St Hopedale IL 61747-7511 Ph: (309) 449-3371 |
NPI Number | 1861039497 |
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Provider Enumeration Date | 12/02/2019 |
Last Update Date | 06/29/2020 |
Identifier | Type | State | Issuer |
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1861039497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |