Dental Professionals of Illinois, P.c.
NPI #1184737363 in Carbondale, Illinois
Provider Information
- NPI Number
- 1184737363
- 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
- Aug 15, 2006
- Last Updated
- Aug 10, 2018
Practice Location
- Address
- 1111 EAST WALNUT STREET
- City
- Carbondale
- State
- Illinois
- ZIP Code
- 62901
- Phone
- (618) 529-2471
Authorized Official
- Name
- DR. RICHARD WORKMAN, DMD
- Title
- OWNER/PC PRESENDT
- Phone
- (217) 540-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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| DR. Donald Charles Summerlin, DDS | |
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| DR. Laura Schall, DMD |
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