Organization
JOHN M CONNESS DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL CONNESS DDS (OWNER)
(815) 434-1022
Entity
Organization
Contact information
Practice address
1704 POLARIS CIR, SUITE 1, OTTAWA, IL 61350-1773
(815) 434-1022
(815) 434-1047
Mailing address
1704 POLARIS CIR, SUITE 1, OTTAWA, IL 61350-1773
(815) 434-1022
(815) 434-1047
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019018550
IL
Other
Enumeration date
12/28/2015
Last updated
01/26/2016
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