Organization · Type 2 NPI
Pinckneyville Dental Care
Dental Clinic/Center · Pinckneyville, IL
NPI number
1104939735
Active
Practice location
1000 S Main St
Pinckneyville, IL 62274-1772
Fax (618) 357-9549
Mailing address
PO Box 469
Pinckneyville, IL 62274-0469
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 19020196 (IL) |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Pinckneyville
About NPI 1104939735
Pinckneyville Dental Care's National Provider Identifier is 1104939735, issued on Aug 17, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Pinckneyville, IL. The record was last updated on Jul 30, 2014.