| Vanessa L Cole Dmd Pc | |
|
516 South Locust Street Centialia IL 62801 | |
| (618) 532-2500 | |
| (618) 532-1477 |
| Full Name | Vanessa L Cole Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 516 South Locust Street, Centialia, Illinois |
| Authorized Official Name and Position | Vanessa L Cole (PRESIDENT OWNER DENTIST) |
| Authorized Official Contact | 6185322500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa L Cole Dmd Pc 516 South Locust Street Centialia IL 62801 Ph: (618) 532-2500 | Vanessa L Cole Dmd Pc 516 South Locust Street Centialia IL 62801 Ph: (618) 532-2500 |
| NPI Number | 1588718480 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588718480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Illinois) | Primary |