| Woolery Dental P.c. | |
|
5301 E State St Ste 306 Rockford IL 61108-2390 | |
| (815) 399-2542 | |
| (815) 399-4716 |
| Full Name | Woolery Dental P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5301 E State St Ste 306, Rockford, Illinois |
| Authorized Official Name and Position | Jennifer K Woolery (DENTIST/OWNER) |
| Authorized Official Contact | 8153992542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woolery Dental P.c. 5301 E State St Ste 306 Rockford IL 61108-2390 Ph: (815) 399-2542 | Woolery Dental P.c. 5301 E State St Ste 306 Rockford IL 61108-2390 Ph: (815) 399-2542 |
| NPI Number | 1295192144 |
|---|---|
| Provider Enumeration Date | 01/23/2016 |
| Last Update Date | 01/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295192144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 019026188 (Illinois) | Primary |
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