| Troy Roeder Dds Pc | |
|
5030 38th Ave Suite 1 Moline IL 61265-6717 | |
| (309) 762-1602 | |
| (309) 762-1772 |
| Full Name | Troy Roeder Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5030 38th Ave, Moline, Illinois |
| Authorized Official Name and Position | Troy J Roeder (DOCTOR/OWNER) |
| Authorized Official Contact | 3097621602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Troy Roeder Dds Pc 5030 38th Ave Suite 1 Moline IL 61265-6717 Ph: (309) 762-1602 | Troy Roeder Dds Pc 5030 38th Ave Suite 1 Moline IL 61265-6717 Ph: (309) 762-1602 |
| NPI Number | 1881966042 |
|---|---|
| Provider Enumeration Date | 02/03/2012 |
| Last Update Date | 02/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881966042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19023696 (Illinois) | Primary |
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