Organization
HOUSEMAN DENTAL OFFICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HENRY HOUSEMAN D.M.D. (PRINCIPAL)
(618) 498-3621
Entity
Organization
Contact information
Practice address
308 S WASHINGTON ST, JERSEYVILLE, IL 62052-1672
(618) 498-3621
(618) 498-3429
Mailing address
308 S WASHINGTON ST, JERSEYVILLE, IL 62052-1672
(618) 498-3621
(618) 498-3429
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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