Nam Hoang, | |
611 W Park St, Urbana, IL 61801-2529 | |
(217) 383-3311 | |
Not Available |
Full Name | Nam Hoang |
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Gender | Male |
Speciality | Dentist |
Location | 611 W Park St, Urbana, 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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1255853446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 018.002021 (Illinois) | Primary |
Entity Name | Connecticut Oral & Maxillofacial Surgery Centers, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083818710 PECOS PAC ID: 4486568409 Enrollment ID: O20031114000146 |
Mailing Address | Practice Location Address |
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Nam Hoang, 1125 Baytowne Dr Apt 28, Champaign, IL 61822-7979 Ph: () - | Nam Hoang, 611 W Park St, Urbana, IL 61801-2529 Ph: (217) 383-3311 |
Daniel Simmonds Cannon, Dentist Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3280 | |
Dr. Robert Bruce Sinclair, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 404 W Green St, Urbana, IL 61801 Phone: 217-328-3749 | |
Dr. Benjamin Edward Schaefer, D.D.S. Dentist Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3280 Fax: 217-383-7071 | |
Dr. Patricia Annette Scott, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 406 Beringer Cir, Urbana, IL 61802 Phone: 217-337-1377 Fax: 217-337-1322 | |
Dr. Vickie Lynn Hemann, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1209 E Colorado Ave Ste 102, Urbana, IL 61801 Phone: 217-337-6000 Fax: 217-337-6624 | |
Dr. Cole Anderson, D.M.D.,M.S. Dentist Medicare: Accepting Medicare Assignments Practice Location: 602 W University Ave, Urbana, IL 61801 Phone: 217-383-3280 Fax: 217-383-7071 |