Individual
DR. PIERCE HAMILTON MEDERIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2501
(217) 326-1297
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
018.002301
IL
Other
Enumeration date
02/08/2025
Last updated
06/25/2025
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