Dr Gordon Edward Dammann, DDS is a
Dentist - General Practice based in Lena, Illinois. Dr Gordon Edward Dammann is licensed to practice in Illinois (license number 19-013584) and his current practice location is
123 W Railroad St, Lena, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 369-2611.
NPI number for Dr Gordon Edward Dammann is 1891957874 and his current mailing address is 123 W Railroad St, Pobox 516, Lena, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891957874.
Healthcare Provider's Profile
Full Name | Dr Gordon Edward Dammann |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 123 W Railroad St, Lena, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891957874
- Provider Enumeration Date: 06/30/2008
- Last Update Date: 06/30/2008
Medical Identifiers
Medical identifiers for Dr Gordon Edward Dammann such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891957874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 19-013584 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gordon Edward Dammann is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Gordon Edward Dammann, DDS 123 W Railroad St, Pobox 516, Lena, IL 61048-9038 Ph: (815) 369-2611 | Dr Gordon Edward Dammann, DDS 123 W Railroad St, Lena, IL 61048-9038 Ph: (815) 369-2611 |
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