Morton Dental Center

NPI #1487875878 in Morton, Illinois

Provider Information

NPI Number: 1487875878
Entity Type: Organization
Organization Name: Morton Dental Center
Primary Specialty: Dentist - General Practice
Enumeration Date: May 1, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1600 S 4TH AVE
Address 2: STE 110
City: Morton
State: Illinois
ZIP Code: 61550-2889
Phone: (309) 263-2781

Authorized Official

Name: DR. ERIKA K GRIMM, D.D.S.
Title: V. PRES.
Phone: (309) 263-2781

Specialties & Taxonomy Codes

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

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