| Verheecke Dental Llc | |
|
103 S Main St Orangeville IL 61060-9244 | |
| (815) 789-4611 | |
| (815) 789-4612 |
| Full Name | Verheecke Dental Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 103 S Main St, Orangeville, Illinois |
| Authorized Official Name and Position | Penny K Bose (OFFICE MANAGER) |
| Authorized Official Contact | 8157894611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Verheecke Dental Llc Po Box 456 Orangeville IL 61060-0456 Ph: (815) 789-4611 | Verheecke Dental Llc 103 S Main St Orangeville IL 61060-9244 Ph: (815) 789-4611 |
| NPI Number | 1215558390 |
|---|---|
| Provider Enumeration Date | 04/30/2020 |
| Last Update Date | 04/30/2020 |
| Medicare PECOS PAC ID | 3173938867 |
|---|---|
| Medicare Enrollment ID | O20210210000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215558390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Brent M Verheecke |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548489354 PECOS PAC ID: 0042534349 Enrollment ID: I20210210000681 |
Mark J Maly Estate Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 S Main St # Po, Orangeville, IL 61060 Phone: 815-789-4611 |