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RESTORATION DENTAL LLC- MARSHALL DENTAL PROFESSIONALS NPI 1326311630


NPI Information

NPI: 1326311630
Provider Name: RESTORATION DENTAL LLC- MARSHALL DENTAL PROFESSIONALS

Doing Business As: MARSHALL DENTAL PROFESSIONALS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
815 N 2ND ST
MARSHALL, IL
ZIP 62441
Phone: (217) 826-5181
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RESTORATION DENTAL LLC- MARSHALL DENTAL PROFESSIONALS is a general practice dentist in Marshall, IL. The provider is 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. RESTORATION DENTAL LLC- MARSHALL DENTAL PROFESSIONALS NPI is 1326311630. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Marshall Dental Professionals.

The provider's business location address is:

815 N 2ND ST
MARSHALL, IL
ZIP 62441-086
Phone: (217) 826-5181
Fax: (217) 826-2651

The provider's authorized official is Jamie Vilk .
The authorized official title is Operations Manager and has the following contact phone number (217) 348-7770.

The enumeration date for this NPI number is 2/16/2012 and was last updated on 10/1/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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