Dr Matthew Steven Daugherty, DDS | |
1900 E Main St, Danville, IL 61832-5100 | |
(217) 554-5857 | |
Not Available |
Full Name | Dr Matthew Steven Daugherty |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 1900 E Main St, Danville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1568773760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 2901020200 (Michigan) | Primary |
Entity Name | Community Health Partnership Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932375169 PECOS PAC ID: 6901053511 Enrollment ID: O20130723000458 |
Mailing Address | Practice Location Address |
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Dr Matthew Steven Daugherty, DDS 2506 Monica Ln, Bloomington, IL 61705-4131 Ph: (205) 343-4686 | Dr Matthew Steven Daugherty, DDS 1900 E Main St, Danville, IL 61832-5100 Ph: (217) 554-5857 |
Dr. Karl Frank Muster, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1010 N Gilbert St, Danville, IL 61832 Phone: 217-442-4878 Fax: 217-442-2148 | |
Mark W Anderson, DDS MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 909 N Logan Ave, Danville, IL 61832 Phone: 217-446-8696 Fax: 217-446-1969 | |
Dr. Richard Mark Vanburk, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 610 N Logan Ave, Danville, IL 61832 Phone: 217-442-3385 Fax: 217-442-2517 | |
Dr. Donald Craig Tigchelaar, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1900 E Main St, Va Illiana Healthcare System, Danville, IL 61832 Phone: 217-554-4516 Fax: 217-554-4881 | |
Dr. James Matthew Hardy, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 809 N Gilbert St, Danville, IL 61832 Phone: 217-442-3020 Fax: 217-442-3943 | |
Dr. Brian Lee Secrist, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-5859 | |
Dr. Jacob S Froerer, DDS, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1900 E Main St, Danville, IL 61832 Phone: 217-554-3110 |