| Southwoods Centre Dental Care | |
|
240 Southwoods Centre Drive Columbia IL 62236 | |
| (618) 281-9888 | |
| (618) 281-9889 |
| Full Name | Southwoods Centre Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 240 Southwoods Centre Drive, Columbia, Illinois |
| Authorized Official Name and Position | Amy Kroeger (INS COOD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwoods Centre Dental Care 240 Southwoods Centre Drive Columbia IL 62236 Ph: (618) 281-9888 | Southwoods Centre Dental Care 240 Southwoods Centre Drive Columbia IL 62236 Ph: (618) 281-9888 |
| NPI Number | 1831311158 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831311158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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