Ted B Koester Dmd PC

NPI #1578633665 in Effingham, Illinois

Provider Information

NPI Number: 1578633665
Entity Type: Organization
Organization Name: Ted B Koester Dmd PC
Primary Specialty: Dentist
Enumeration Date: Nov 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 111 SOUTH FIRST STREET
City: Effingham
State: Illinois
ZIP Code: 62401
Phone: (217) 342-4494

Authorized Official

Name: MR. TED KOESTER, DMD
Title: DMD
Phone: (217) 342-4494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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