| Thomas E. Standley, Dmd, Pc | |
|
30 E Green St Suite 1 Champaign IL 61820-7905 | |
| (217) 355-5600 | |
| (217) 355-4550 |
| Full Name | Thomas E. Standley, Dmd, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 30 E Green St, Champaign, Illinois |
| Authorized Official Name and Position | Thomas E Standley (OWNER/OPERATOR) |
| Authorized Official Contact | 2173555600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E. Standley, Dmd, Pc 30 E Green St Suite 1 Champaign IL 61820-7905 Ph: (217) 355-5600 | Thomas E. Standley, Dmd, Pc 30 E Green St Suite 1 Champaign IL 61820-7905 Ph: (217) 355-5600 |
| NPI Number | 1275703175 |
|---|---|
| Provider Enumeration Date | 03/06/2008 |
| Last Update Date | 03/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275703175 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 023924 (Illinois) | Primary |
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