Organization · Type 2 NPI
Ethan Grounds DMD PC
Dental Clinic/Center · Harrisburg, IL
NPI number
1073382099
Active
Practice location
300 Small St Ste D
Harrisburg, IL 62946-3325
Mailing address
910 Marshall Street
Harrisburg, IL 62946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1073382099
Ethan Grounds DMD PC's National Provider Identifier is 1073382099, issued on Jan 2, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Harrisburg, IL. The record was last updated on Jan 2, 2024.