Rickard Road Dental Group
NPI #1245981570 in Springfield, Illinois
Provider Information
- NPI Number
- 1245981570
- Entity Type
- Organization
- Organization Name
- Rickard Road Dental Group
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 18, 2022
- Last Updated
- Jan 18, 2022
Practice Location
- Address
- 1140 RICKARD RD STE 1
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-6385
- Phone
- (217) 787-3096
Authorized Official
- Name
- DR. ETHAN DUEWER
- Title
- DENTIST
- Phone
- (217) 691-7778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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