Prairie Circle Dental, P.c.

NPI #1912036385 in Tuscola, Illinois

Provider Information

NPI Number: 1912036385
Entity Type: Organization
Organization Name: Prairie Circle Dental, P.c.
Primary Specialty: Clinic/Center
Enumeration Date: Mar 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 703 N NILES AVE
City: Tuscola
State: Illinois
ZIP Code: 61953-1059
Phone: (217) 253-5216

Authorized Official

Name: DR. RICHARD D. DAVIDSON, DMD
Title: OWNER
Phone: (217) 253-5216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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