Individual
DR. GREGORY D. SCHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2004 FOX DRIVE, CHAMPAIGN, IL 61820
(217) 359-5087
(217) 363-0295
Mailing address
2200 SOUTHWOOD DRIVE, CHAMPAIGN, IL 61821
(847) 256-6233
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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