Organization · Type 2 NPI
Mid-Illinois Dental Clinic, LLC
Dental Clinic/Center · Taylorville, IL
NPI number
1144830621
Active
Practice location
101 S Cherokee St
Taylorville, IL 62568-2605
Mailing address
1211 Peachtree Dr
Chatham, IL 62629-8058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1144830621
Mid-Illinois Dental Clinic, LLC's National Provider Identifier is 1144830621, issued on Aug 9, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Taylorville, IL. The record was last updated on Aug 9, 2020.