Advanced Family Dental & Orthodontics of Carlinville, PC

NPI #1669866455 in Carlinville, Illinois

Provider Information

NPI Number: 1669866455
Entity Type: Organization
Organization Name: Advanced Family Dental & Orthodontics of Carlinville, PC
Subpart: Yes (part of a larger organization)
Parent Organization: ADVANCED FAMILY DENTAL & ORTHODONTICS OF MT OLIVE, PC
Primary Specialty: Dentist
Enumeration Date: Mar 19, 2015
Last Updated: Mar 19, 2015

Practice Location

Address: 201 MCCAUSLAND ST
City: Carlinville
State: Illinois
ZIP Code: 62626-9128
Phone: (217) 854-4059

Authorized Official

Name: DR. DAVID RUBIS, DDS
Title: PRESIDENT
Phone: (217) 854-4059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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