Middleton Dental LLC

NPI #1609261346 in Springfield, Illinois

Provider Information

NPI Number: 1609261346
Entity Type: Organization
Organization Name: Middleton Dental LLC
Primary Specialty: Dentist
Enumeration Date: Mar 31, 2015
Last Updated: Mar 31, 2015

Practice Location

Address: 231 N BRUNS LN
Address 2: BUILDING C
City: Springfield
State: Illinois
ZIP Code: 62702-4612
Phone: (217) 546-9097

Authorized Official

Name: JOHN ZACHARY MIDDLETON, DMD
Title: DENTIST
Phone: (217) 546-9097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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