Organization
CHARLES F KNEEDLER DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES FORREST KNEEDLER DENTIST (PRESIDENT/DENTIST)
(618) 234-3700
Entity
Organization
Contact information
Practice address
3600 N ILLINOIS, SWANSEA, IL 62226
(618) 234-3700
(618) 234-4076
Mailing address
3600 N ILLINOIS, SWANSEA, IL 62226
(618) 234-3700
(618) 234-4076
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
08/22/2020
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