The Smile Shoppe | |
1117 Washington St Highland IL 62249-1922 | |
(618) 654-9866 | |
Not Available |
Full Name | The Smile Shoppe |
---|---|
Speciality | Dentist - General Practice |
Location | 1117 Washington St, Highland, Illinois |
Authorized Official Name and Position | Thomas Edward Barker (PRESIDENT) |
Authorized Official Contact | 6186549866 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Smile Shoppe 1117 Washington St Highland IL 62249-1922 Ph: (618) 654-9866 | The Smile Shoppe 1117 Washington St Highland IL 62249-1922 Ph: (618) 654-9866 |
NPI Number | 1649380676 |
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Provider Enumeration Date | 08/30/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649380676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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