Dental Professionals of Illinois, P.c.
NPI #1013139609 in Charleston, Illinois
Provider Information
- NPI Number
- 1013139609
- Entity Type
- Organization
- Organization Name
- Dental Professionals of Illinois, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL PROFESSIONALS OF ILLINOIS, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 3, 2007
- Last Updated
- Jan 7, 2014
Practice Location
- Address
- 826 W LINCOLN AVENUE
- Address 2
- SUITE A
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920
- Phone
- (217) 345-1315
Authorized Official
- Name
- LINDSAY BEARDEN
- Title
- INS COOD
- Phone
- (217) 540-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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