| Wood River Family Dental | |
|
1915 Vaughn Road Wood River IL 62095 | |
| (618) 259-2007 | |
| (618) 259-2675 |
| Full Name | Wood River Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1915 Vaughn Road, Wood River, Illinois |
| Authorized Official Name and Position | Amanda Henderson (BUSINESS ASSISTANT) |
| Authorized Official Contact | 6182592007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wood River Family Dental 26 Ginger Creek Pkwy Po Box 430 Glen Carbon IL 62034-3502 Ph: (618) 288-6201 | Wood River Family Dental 1915 Vaughn Road Wood River IL 62095 Ph: (618) 259-2007 |
| NPI Number | 1972762367 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 05/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972762367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019025159 (Illinois) | Primary |
Wood River Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1075 Harrison St, Wood River, IL 62095 Phone: 618-259-5200 | |
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 |