Advanced Dental Care of Springfield LLP
NPI #1356947030 in Springfield, Illinois
Provider Information
- NPI Number
- 1356947030
- Entity Type
- Organization
- Organization Name
- Advanced Dental Care of Springfield LLP
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 8, 2020
- Last Updated
- Dec 8, 2020
Practice Location
- Address
- 4701 WABASH AVE
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62711-9694
- Phone
- (217) 546-3333
Authorized Official
- Name
- DR. MATT GORDON VANFDERMOLEN, DDS
- Title
- MANAGER
- Phone
- (217) 546-3333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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