| Dr Jonathon Park, DDS | |
|
140 N State St, Belvidere, IL 61008-3518 | |
| (707) 775-9812 | |
| Not Available |
| Full Name | Dr Jonathon Park |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 140 N State St, Belvidere, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164727822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019028929 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathon Park, DDS 140 N State St, Belvidere, IL 61008-3518 Ph: (707) 775-9812 | Dr Jonathon Park, DDS 140 N State St, Belvidere, IL 61008-3518 Ph: (707) 775-9812 |
Dr. Andy J Malcolm, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 163 Cadillac Ct, Suite 3, Belvidere, IL 61008 Phone: 815-544-0909 Fax: 815-544-0922 | |
Elaine Carlson Drake, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 Pearl Street, Belvidere, IL 61008 Phone: 815-547-8112 Fax: 815-544-5480 | |
Dale Addison Drake, DENTIST DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 Pearl Street, Belvidere, IL 61008 Phone: 815-547-8112 Fax: 815-544-5480 | |
Dr. Curt Degner, DDS Dentist Medicare: Medicare Enrolled Practice Location: 502 Logan Ave, Belvidere, IL 61008 Phone: 815-547-7240 Fax: 815-547-0115 | |
Dr. Himanshi C Thakkar, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 121 S State St, Belvidere, IL 61008 Phone: 815-544-2626 Fax: 815-544-3246 | |
Dr. Alan J Kossman, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 916 Belvidere Rd, Belvidere, IL 61008 Phone: 815-544-3111 Fax: 815-547-4569 |