The Dental Group Of Mt. Vernon | |
713 S. 42nd Street Mt. Vernon IL 62864 | |
(618) 244-9666 | |
(618) 244-9986 |
Full Name | The Dental Group Of Mt. Vernon |
---|---|
Speciality | Dentist - General Practice |
Location | 713 S. 42nd Street, Mt. Vernon, 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 |
---|---|
The Dental Group Of Mt. Vernon 713 S. 42nd Street Mt. Vernon IL 62864 Ph: (618) 244-9666 | The Dental Group Of Mt. Vernon 713 S. 42nd Street Mt. Vernon IL 62864 Ph: (618) 244-9666 |
NPI Number | 1417179755 |
---|---|
Provider Enumeration Date | 05/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417179755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |