Organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Other names
21st Century Dental - Springfield
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Authorized official
LINDSAY BEARDEN (INS COOD)
(217) 540-5100
Entity
Organization
Contact information
Practice address
2837 CHATHAM ROAD, SPRINGFIELD, IL 62704
(217) 698-9500
(217) 698-6315
Mailing address
2837 CHATHAM ROAD, SPRINGFIELD, IL 62704
(217) 698-9500
(217) 698-6315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
01/07/2014
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