Individual
JOHN ZACHARY MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
231 N BRUNS LN, BLDG C, SPRINGFIELD, IL 62702-4612
(217) 546-9097
Mailing address
137 RADIO CITY DR, PEKIN, IL 61554-1569
(309) 382-6404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029902
IL
Other
Enumeration date
10/24/2014
Last updated
01/19/2016
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