Stateline Dentistry PC

NPI #1346126182 in Richmond, Illinois

Provider Information

NPI Number: 1346126182
Entity Type: Organization
Organization Name: Stateline Dentistry PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 15, 2025
Last Updated: Aug 15, 2025

Practice Location

Address: 3700 IL ROUTE 173
City: Richmond
State: Illinois
ZIP Code: 60071-9614
Phone: (815) 701-6411

Authorized Official

Name: AMANDA ROBERTS
Title: OFFICE MANAGER
Phone: (815) 385-4140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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