Squaw Grove Dental | |
165 W Lincoln Ave Hinckley IL 60520-9207 | |
(815) 286-3303 | |
(815) 286-9249 |
Full Name | Squaw Grove Dental |
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Speciality | Clinic/center - Dental |
Location | 165 W Lincoln Ave, Hinckley, Illinois |
Authorized Official Name and Position | Keith A Barnhart (DDS) |
Authorized Official Contact | 8152863303 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Squaw Grove Dental 165 W Lincoln Ave Hinckley IL 60520-9207 Ph: (815) 286-3303 | Squaw Grove Dental 165 W Lincoln Ave Hinckley IL 60520-9207 Ph: (815) 286-3303 |
NPI Number | 1710143243 |
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Provider Enumeration Date | 08/04/2008 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1710143243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (Illinois) | Primary |