Dental Professionals of Illinois, P.c.
NPI #1255884623 in Springfield, Illinois
Provider Information
- NPI Number
- 1255884623
- 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 2, 2016
- Last Updated
- Sep 21, 2016
Practice Location
- Address
- 2740 PRAIRIE CROSSING DRIVE
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62711
- Phone
- (217) 953-0891
Authorized Official
- Name
- KENDRA WALKER
- Title
- CREDENTIALING TEAM LEAD
- Phone
- (217) 540-8312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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