Organization · Type 2 NPI

Heartland Family Dental Care of Illinois, PC

General Practice Dentistry · Charleston, IL

NPI number 1245443514 Active

Practice location

826 W Lincoln, Suite B
Charleston, IL 61920

Fax (217) 345-5390

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Other general practice dentistry providers in Charleston

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NPI record

NPI: 1245443514
Entity type: Organization (Type 2)
Issued: May 7, 2007
Last updated: May 21, 2008
Status: Active
Subpart: Yes of Heartland Family Dental Care of Illinois, PC

Other names

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Coles County Family Dental Care · doing business as

Authorized official

Amy Kroeger
Ins Cood
(217) 540-5100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245443514

Heartland Family Dental Care of Illinois, PC's National Provider Identifier is 1245443514, issued on May 7, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Charleston, IL. The record was last updated on May 21, 2008.