Organization
MID-ILLINOIS DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN L FERRY DDS (DENTIST)
(217) 824-2201
Entity
Organization
Contact information
Practice address
101 S CHEROKEE ST, TAYLORVILLE, IL 62568-1665
(217) 824-2201
(217) 824-2202
Mailing address
101 S CHEROKEE ST, TAYLORVILLE, IL 62568-1665
(217) 824-2201
(217) 824-2202
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060-001233
IL
Other
Enumeration date
07/31/2006
Last updated
06/24/2008
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