Dr Gary R Dettman, DDS | |
110 E Washington St, Marengo, IL 60152-3107 | |
(815) 568-1202 | |
Not Available |
Full Name | Dr Gary R Dettman |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 110 E Washington St, Marengo, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851470470 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 019-020199 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Gary R Dettman, DDS 110 E Washington St, Marengo, IL 60152-3107 Ph: (815) 568-1202 | Dr Gary R Dettman, DDS 110 E Washington St, Marengo, IL 60152-3107 Ph: (815) 568-1202 |
Dr. Martha K Basile, DDS Dentist Medicare: Medicare Enrolled Practice Location: 110 E Washington St, Marengo, IL 60152 Phone: 815-568-1202 | |
Dr. Liliana Paz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 110 E Washington St, Marengo, IL 60152 Phone: 815-568-1202 | |
Dr. Manfred Strohschein, Dentist Medicare: Medicare Enrolled Practice Location: 105 S State St, Marengo, IL 60152 Phone: 815-568-5650 |