| Smichael Vancil Dmd Llc | |
|
1255 Cedar Court Carbondale IL 62901-5335 | |
| (618) 529-3931 | |
| (618) 529-1011 |
| Full Name | Smichael Vancil Dmd Llc |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 1255 Cedar Court, Carbondale, Illinois |
| Authorized Official Name and Position | S Michael Vancil (MEMBER) |
| Authorized Official Contact | 6185293931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smichael Vancil Dmd Llc 1255 Cedar Court Carbondale IL 62901-5335 Ph: (618) 529-3931 | Smichael Vancil Dmd Llc 1255 Cedar Court Carbondale IL 62901-5335 Ph: (618) 529-3931 |
| NPI Number | 1770632119 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 07/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770632119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 019017293 (Illinois) | Primary |
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