| Synergy Therapeutics, Pc | |
|
1000 Eleven South Suite 3f Columbia IL 62236 | |
| (618) 281-9729 | |
| (618) 281-9734 |
| Full Name | Synergy Therapeutics, Pc |
|---|---|
| Speciality | Dentist |
| Location | 1000 Eleven South, Columbia, Illinois |
| Authorized Official Name and Position | Angela L Tenholder (DENTIST) |
| Authorized Official Contact | 6182819729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Synergy Therapeutics, Pc 1000 Eleven South Suite 3f Columbia IL 62236 Ph: (618) 281-9729 | Synergy Therapeutics, Pc 1000 Eleven South Suite 3f Columbia IL 62236 Ph: (618) 281-9729 |
| NPI Number | 1912275314 |
|---|---|
| Provider Enumeration Date | 12/13/2011 |
| Last Update Date | 02/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912275314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 060010668 (Illinois) | Primary |
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