Manogna Deepthi Yakasiri, | |
4201 Broadway St Ste C, Mount Vernon, IL 62864-2282 | |
(618) 241-0353 | |
Not Available |
Full Name | Manogna Deepthi Yakasiri |
---|---|
Gender | Female |
Speciality | Dentist - General Practice |
Location | 4201 Broadway St Ste C, Mount Vernon, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659927515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 019032341 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Manogna Deepthi Yakasiri, 7 Warwick Ln, Mount Vernon, IL 62864-2344 Ph: (270) 972-9332 | Manogna Deepthi Yakasiri, 4201 Broadway St Ste C, Mount Vernon, IL 62864-2282 Ph: (618) 241-0353 |
Alan D. Willis, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1915 Broadway St, Mount Vernon, IL 62864 Phone: 618-242-5600 | |
Dr. Tyson Wayne Tinsley, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4214 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-244-6912 Fax: 618-244-7540 | |
Dr. Michael Wesley Neal, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 3 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-242-5054 | |
Dr. Arthur Edward Ronat, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1720 Broadway St, Mount Vernon, IL 62864 Phone: 618-244-3535 Fax: 628-244-4342 | |
Dr. Michael R Hiner, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1704 Jefferson Ave, Mount Vernon, IL 62864 Phone: 618-244-2440 Fax: 618-244-0607 | |
Dr. Kathleen S Renner, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 4201 Williamson Pl, Mount Vernon, IL 62864 Phone: 618-244-5120 | |
Dr. Roger Blair Woodrome, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4214 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-244-6912 Fax: 618-244-7540 |