| Great Rivers Dental P.c. | |
|
708 E Bethalto Dr Bethalto IL 62010-1871 | |
| (618) 377-0044 | |
| Not Available |
| Full Name | Great Rivers Dental P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 708 E Bethalto Dr, Bethalto, Illinois |
| Authorized Official Name and Position | Matthew James Mccullough (PRESIDENT) |
| Authorized Official Contact | 6183397248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Rivers Dental P.c. 708 E Bethalto Dr Bethalto IL 62010-1871 Ph: (618) 377-0044 | Great Rivers Dental P.c. 708 E Bethalto Dr Bethalto IL 62010-1871 Ph: (618) 377-0044 |
| NPI Number | 1932814720 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 01/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932814720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Family Physicians Of Bethalto Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 E Bethalto Dr, Bethalto, IL 62010 Phone: 618-377-8961 Fax: 618-377-8962 | |
Patel Internal Medicine,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 W Bethalto Dr, Bethalto, IL 62010 Phone: 618-377-6410 | |
Family Physicians Of Bethalto Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 155 E Bethalto Dr, Bethalto, IL 62010 Phone: 618-377-8961 |