WOOD RIVER DENTAL GROUP LLC NPI 1528458809

NPI Information

WOOD RIVER DENTAL GROUP LLC is a general practice dentist in Wood River, 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. WOOD RIVER DENTAL GROUP LLC NPI is 1528458809. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1075 HARRISON ST
WOOD RIVER, IL
ZIP 62095-867
Phone: (618) 259-5200

The provider's authorized official is David Guilbeault .
The authorized official title is Owner/dentist and has the following contact phone number (618) 248-2038.

The enumeration date for this NPI number is 1/26/2015 and was last updated on 1/26/2015.

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:

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