Ault Family Dentistry Pllc

NPI #1356063226 in Savoy, Illinois

Provider Information

NPI Number
1356063226
Entity Type
Organization
Organization Name
Ault Family Dentistry Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
AULT AND MASSEY FAMILY DENTISTRY
Primary Specialty
Dentist
Enumeration Date
Sep 16, 2022
Last Updated
Sep 16, 2022

Practice Location

Address
1810 WOODFIELD DR
City
Savoy
ZIP Code
61874-9479
Phone
(217) 352-6232

Authorized Official

Name
DR. JUSTIN ROBERT AULT, DMD
Title
DENTIST
Phone
(920) 672-9706

Specialties & Taxonomy Codes

Specialty
Dentist

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Organizations

Provider Name
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