| Dr Luis Pedro Miron Carcamo, | |
|
1701 S Prospect Ave Ste 201, Champaign, IL 61820-7054 | |
| (217) 305-7980 | |
| Not Available |
| Full Name | Dr Luis Pedro Miron Carcamo |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1701 S Prospect Ave Ste 201, Champaign, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962790006 | NPI | - | NPPES |
| 2044967 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60448654 (Washington) | Secondary |
| 122300000X | Dentist | 019030115 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Luis Pedro Miron Carcamo, 1701 S Prospect Ave Ste 201, Champaign, IL 61820-7054 Ph: (217) 305-7980 | Dr Luis Pedro Miron Carcamo, 1701 S Prospect Ave Ste 201, Champaign, IL 61820-7054 Ph: (217) 305-7980 |
Jae Ung Jung, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1905 W Springfield Ave, Champaign, IL 61821 Phone: 888-988-4066 | |
Dr. Robert Benjamin Scott, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 805 W. Springfield Ave., Champaign, IL 61820 Phone: 217-352-5088 | |
Oluwatosin Hannah Ayo-okuwobi, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1905 W Springfield Ave, Champaign, IL 61821 Phone: 888-988-4066 | |
Dr. Venu Maturi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 14 E Anthony Dr, Suite B, Champaign, IL 61820 Phone: 217-398-1660 Fax: 217-398-1657 | |
Dr. William Ray Thompson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 507 S Second St, Champaign, IL 61820 Phone: 217-356-1189 Fax: 217-356-1742 | |
Dr. Erika Ynga, DDS Dentist Medicare: Medicare Enrolled Practice Location: 703 S Neil St, Champaign, IL 61820 Phone: 217-398-2244 Fax: 217-398-9188 | |
Thomas E Standley, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 30 E Green Street, Suite 1, Champaign, IL 61820 Phone: 217-355-5600 Fax: 217-355-4550 |