Organization
NAYLOR PERIODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY RYAN NAYLOR D.M.D., M.S. (PRESIDENT)
(618) 288-1550
Entity
Organization
Contact information
Practice address
4956 AUTUMN OAKS DR, SUITE B, MARYVILLE, IL 62062-8504
(618) 288-1550
(618) 288-0045
Mailing address
4956 AUTUMN OAKS DR, SUITE B, MARYVILLE, IL 62062-8504
(618) 288-1550
(618) 288-0045
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
021.002526
IL
Other
Enumeration date
07/28/2006
Last updated
01/05/2015
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