| Village Family Dental, Llc | |
|
3949 Il-111 Granite City IL 60240 | |
| (618) 797-1515 | |
| Not Available |
| Full Name | Village Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3949 Il-111, Granite City, Illinois |
| Authorized Official Name and Position | Jonathan Sones (OWNER/DENTIST) |
| Authorized Official Contact | 6187971515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Family Dental, Llc 3949 Il-111 Granite City IL 60240 Ph: (618) 797-1515 | Village Family Dental, Llc 3949 Il-111 Granite City IL 60240 Ph: (618) 797-1515 |
| NPI Number | 1427886183 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427886183 | NPI | - | NPPES |
| 1639499791 | Other | IL | NPI |
| 1134961758 | Other | IL | NPI |
| 1588344824 | Other | IL | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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