PRAIRIE CIRCLE DENTAL P.C. NPI 1912036385

NPI Information

PRAIRIE CIRCLE DENTAL, P.C. is a clinic center in Tuscola, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PRAIRIE CIRCLE DENTAL, P.C. NPI is 1912036385. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Dr. Richard D. Davidson.

The provider's business location address is:

703 N NILES AVE
TUSCOLA, IL
ZIP 61953-059
Phone: (217) 253-5216
Fax: (217) 253-4949

The provider's authorized official is Richard D. Davidson .
The authorized official title is Owner and has the following contact phone number (217) 253-5216.

The enumeration date for this NPI number is 3/3/2007 and was last updated on 8/22/2020.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.