Dr Charles L Proesel Jr, DDS | |
205 E Gridley Rd, Gridley, IL 61744-8733 | |
(309) 747-2213 | |
(309) 747-3989 |
Full Name | Dr Charles L Proesel Jr |
---|---|
Gender | Male |
Speciality | Dentist - Dental Public Health |
Location | 205 E Gridley Rd, Gridley, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972508364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223D0001X | Dentist - Dental Public Health | 19A14491 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Charles L Proesel Jr, DDS Po Box 288, Gridley, IL 61744-0288 Ph: (309) 747-2213 | Dr Charles L Proesel Jr, DDS 205 E Gridley Rd, Gridley, IL 61744-8733 Ph: (309) 747-2213 |
Dr. Timothy D. Supan, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 205 E Gridley Rd, Gridley, IL 61744 Phone: 309-747-2213 Fax: 309-747-3989 | |
Dr. Stephen T. Blue, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 205 E Gridley Rd, Gridley, IL 61744 Phone: 309-747-2213 Fax: 309-747-3989 |