| Wood River Dental Group Llc | |
|
1075 Harrison St Wood River IL 62095-1867 | |
| (618) 259-5200 | |
| Not Available |
| Full Name | Wood River Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1075 Harrison St, Wood River, Illinois |
| Authorized Official Name and Position | David Guilbeault (OWNER/DENTIST) |
| Authorized Official Contact | 6182482038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wood River Dental Group Llc 1922 Edwardsville Club Plaza Ct Edwardsville IL 62025-3717 Ph: (618) 248-2038 | Wood River Dental Group Llc 1075 Harrison St Wood River IL 62095-1867 Ph: (618) 259-5200 |
| NPI Number | 1528458809 |
|---|---|
| Provider Enumeration Date | 01/26/2015 |
| Last Update Date | 01/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528458809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
Caldieraro Family Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 332 N Central Ave, Wood River, IL 62095 Phone: 618-254-3355 | |
Df Roberson & Wj Stapleton Dds, Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1075 Harrison St, Wood River, IL 62095 Phone: 618-259-5200 Fax: 618-259-3181 | |
Wood River Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1915 Vaughn Road, Wood River, IL 62095 Phone: 618-259-2007 Fax: 618-259-2675 |