| Stinauer Family Dentistry Inc. | |
|
312 W Main St Havana IL 62644-1140 | |
| (309) 543-2975 | |
| (309) 543-2782 |
| Full Name | Stinauer Family Dentistry Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 312 W Main St, Havana, Illinois |
| Authorized Official Name and Position | Robert Frank Stinauer (PRESIDENT) |
| Authorized Official Contact | 3095432975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stinauer Family Dentistry Inc. 312 W Main St Havana IL 62644-1140 Ph: (309) 543-2975 | Stinauer Family Dentistry Inc. 312 W Main St Havana IL 62644-1140 Ph: (309) 543-2975 |
| NPI Number | 1730201724 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730201724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019016767 (Illinois) | Primary |
Liberty Dental, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 W Adams St, Havana, IL 62644 Phone: 309-543-6301 Fax: 309-543-4958 |