Tracy N Taylor Dmd., Pc | |
202 E Locust St Fairbury IL 61739-1649 | |
(815) 692-4247 | |
Not Available |
Full Name | Tracy N Taylor Dmd., Pc |
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Speciality | Dentist |
Location | 202 E Locust St, Fairbury, Illinois |
Authorized Official Name and Position | Tracy N Taylor (DENTIST) |
Authorized Official Contact | 8156924247 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tracy N Taylor Dmd., Pc 202 E Locust St Fairbury IL 61739-1649 Ph: (815) 692-4247 | Tracy N Taylor Dmd., Pc 202 E Locust St Fairbury IL 61739-1649 Ph: (815) 692-4247 |
NPI Number | 1417214990 |
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Provider Enumeration Date | 04/20/2012 |
Last Update Date | 04/20/2012 |
Identifier | Type | State | Issuer |
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1417214990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 019-022786 (Illinois) | Primary |