Organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Other names
North Vermillion Family Dental
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
3607 NORTH VERMILLION, SUITE 4, DANVILLE, IL 61832
(217) 442-0056
(217) 442-6352
Mailing address
3607 NORTH VERMILLION, SUITE 4, DANVILLE, IL 61832
(217) 442-0056
(217) 442-6352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
01/08/2014
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