Heartland Family Dental Care of Illinois, PC
NPI #1245443514 in Charleston, Illinois
Provider Information
- NPI Number
- 1245443514
- Entity Type
- Organization
- Organization Name
- Heartland Family Dental Care of Illinois, PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HEARTLAND FAMILY DENTAL CARE OF ILLINOIS, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 7, 2007
- Last Updated
- May 21, 2008
Practice Location
- Address
- 826 W LINCOLN
- Address 2
- SUITE B
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920
- Phone
- (217) 345-5250
Authorized Official
- Name
- AMY KROEGER
- Title
- INS COOD
- Phone
- (217) 540-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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