Organization
HEATH A. GROTE, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATH ALLEN GROTE D.M.D. (OWNER/PRESIDENT)
(217) 352-5809
Entity
Organization
Contact information
Practice address
2916 CROSSING COURT, SUITE C, CHAMPIAGN, IL 61822
(217) 352-5809
(217) 352-5812
Mailing address
2916 CROSSING COURT, SUITE C, CHAMPAIGN, IL 61822
(217) 352-5809
(217) 352-5812
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
019024132
IL
1223E0200X
Endodontics
019025871
IL
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/04/2008
Last updated
12/09/2008
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