Organization
PINCKNEYVILLE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH KANE CHAPMAN DMD (OWNER)
(618) 357-2445
Entity
Organization
Contact information
Practice address
1000 S MAIN ST, PINCKNEYVILLE, IL 62274-1772
(618) 357-2445
(618) 357-9549
Mailing address
PO BOX 469, PINCKNEYVILLE, IL 62274-0469
(618) 357-2445
(618) 357-9549
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
19020196
IL
Other
Enumeration date
08/17/2006
Last updated
07/30/2014
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