Mid-Illinois Dental Associates

NPI #1194731430 in Taylorville, Illinois

Provider Information

NPI Number: 1194731430
Entity Type: Organization
Organization Name: Mid-Illinois Dental Associates
Primary Specialty: Dentist
Enumeration Date: Jul 31, 2006
Last Updated: Jun 24, 2008

Practice Location

Address: 101 S CHEROKEE ST
City: Taylorville
State: Illinois
ZIP Code: 62568-1665
Phone: (217) 824-2201

Authorized Official

Name: DR. JOHN L FERRY, DDS
Title: DENTIST
Phone: (217) 824-2201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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