| Sones Family Dental, Llc | |
|
21 Glen Ed Professional Park Glen Carbon IL 62034-3333 | |
| (618) 656-0608 | |
| (618) 656-0615 |
| Full Name | Sones Family Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 21 Glen Ed Professional Park, Glen Carbon, Illinois |
| Authorized Official Name and Position | Jonathan Michael Sones (OWNER) |
| Authorized Official Contact | 6186560608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sones Family Dental, Llc 21 Glen Ed Professional Park Glen Carbon IL 62034-3333 Ph: (618) 656-0608 | Sones Family Dental, Llc 21 Glen Ed Professional Park Glen Carbon IL 62034-3333 Ph: (618) 656-0608 |
| NPI Number | 1700206406 |
|---|---|
| Provider Enumeration Date | 04/21/2014 |
| Last Update Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700206406 | NPI | - | NPPES |
| 1881262434 | Other | IL | NPI |
| 1639499791 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019028342 (Illinois) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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