Southern Il Dental Sleep Medicine | |
864 Koonce Rd Murphysboro IL 62966-6048 | |
(618) 529-2471 | |
(618) 529-2482 |
Full Name | Southern Il Dental Sleep Medicine |
---|---|
Speciality | Dentist |
Location | 864 Koonce Rd, Murphysboro, Illinois |
Authorized Official Name and Position | Michael R Durr (OWNER) |
Authorized Official Contact | 6185292471 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southern Il Dental Sleep Medicine 864 Koonce Rd Murphysboro IL 62966-6048 Ph: (618) 529-2471 | Southern Il Dental Sleep Medicine 864 Koonce Rd Murphysboro IL 62966-6048 Ph: (618) 529-2471 |
NPI Number | 1629407119 |
---|---|
Provider Enumeration Date | 11/05/2013 |
Last Update Date | 11/05/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629407119 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 060.011093 (Illinois) | Primary |