| Dr Kenneth Lee Myracle, DMD | |
|
700 Broadway Ave E, Mattoon, IL 61938-4671 | |
| (217) 235-1101 | |
| Not Available |
| Full Name | Dr Kenneth Lee Myracle |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 700 Broadway Ave E, Mattoon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588862254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Lee Myracle, DMD 13 S Country Club Rd, Mattoon, IL 61938-9023 Ph: (217) 258-8781 | Dr Kenneth Lee Myracle, DMD 700 Broadway Ave E, Mattoon, IL 61938-4671 Ph: (217) 235-1101 |
Dr. Jennifer A Kennedy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 601 Broadway Ave, Mattoon, IL 61938 Phone: 217-235-0556 | |
Dr. Philip B. Kepp, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 601 Broadway Ave, Mattoon, IL 61938 Phone: 217-235-0556 Fax: 217-234-7243 | |
Dr. Khin W Laij, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1521 Wabash Ave, Mattoon, IL 61938 Phone: 217-235-5496 Fax: 217-234-6956 | |
Dr. Myles Jordan Hastings, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1017 Broadway Ave, Mattoon, IL 61938 Phone: 217-235-0381 Fax: 217-235-0396 | |
Christopher William Painton, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 1011 Charleston Ave E, Mattoon, IL 61938 Phone: 217-235-5900 | |
Gregory George Yount, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 225 Richmond Ave E, Mattoon, IL 61938 Phone: 217-235-0435 Fax: 217-234-3418 | |
Dr. Lily K Laij, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1521 Wabash Ave, Mattoon, IL 61938 Phone: 217-235-5496 Fax: 217-234-6956 |