Organization
QUINCY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER SUZANNE PRITTS DMD (DENTIST/PRESIDENT)
(217) 224-0426
Entity
Organization
Contact information
Practice address
332 S 36TH ST, SUITE 1, QUINCY, IL 62301-5808
(217) 224-0426
(217) 224-1402
Mailing address
332 S 36TH ST, SUITE 1, QUINCY, IL 62301-5808
(217) 224-0426
(217) 224-1402
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
019-027702
IL
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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