| Shima Phoenix, DMD | |
|
4201 Broadway St, Mount Vernon, IL 62864-2282 | |
| (618) 241-0997 | |
| Not Available |
| Full Name | Shima Phoenix |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 4201 Broadway St, Mount Vernon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588040976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019.030430 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shima Phoenix, DMD 4201 Broadway St, Mount Vernon, IL 62864-2282 Ph: (618) 241-0997 | Shima Phoenix, DMD 4201 Broadway St, Mount Vernon, IL 62864-2282 Ph: (618) 241-0997 |
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 |