Mattoon Dental PC

NPI #1124285317 in Mattoon, Illinois

Provider Information

NPI Number: 1124285317
Entity Type: Organization
Organization Name: Mattoon Dental PC
Subpart: Yes (part of a larger organization)
Parent Organization: MATTOON DENTAL PC
Primary Specialty: Dentist
Enumeration Date: May 16, 2008
Last Updated: May 16, 2008

Practice Location

Address: 225 RICHMOND AVE E
City: Mattoon
State: Illinois
ZIP Code: 61938
Phone: (217) 235-0434

Authorized Official

Name: DR. GREGORY G YOUNT, DMD
Title: DENTIST OWNER
Phone: (217) 235-0434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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