Dakota Pottle

NPI #1093384240 in Effingham, Illinois

Provider Information

NPI Number: 1093384240
Entity Type: Individual
Name: Dakota Pottle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jun 22, 2021
Last Updated: Jun 22, 2021

Practice Location

Address: 1200 NETWORK CENTRE DR STE 2
City: Effingham
State: Illinois
ZIP Code: 62401-4637
Phone: (217) 540-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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