Unknown Individual – General Practice Dentistry, NPI 1508954546
General Practice Dentistry
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
217, West Clay Street, Collinsville, Madison County, Illinois, 62234, United States
COLLINSVILLE, IL 622343219
Phone: (618) 344-6480
Fax: (614) 344-0806
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62234)
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