Oglesby Family Dentistry, LTD

Organization Active NPI General Practice Dentistry · Oglesby, IL

NPI 1255454971 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1255454971
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
OGLESBY FAMILY DENTISTRY, LTD
Practice address
341 W Walnut St
Oglesby, IL 61348-1463
Phone
(815) 883-3316
Fax
(815) 883-3318
NPI assigned
Apr 9, 2007
Organization subpart
No

Authorized official

Name
Dr. Edward J Monroe, D.D.S.
Title
Owner
Phone
(815) 223-6013

National Provider Directory

Locations

341 W Walnut St
Oglesby, IL 61348
Phone (815) 883-3316

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X IL Yes

Addresses

Primary practice location

341 W Walnut St
Oglesby, IL 61348-1463

Mailing address

341 W Walnut St
Oglesby, IL 61348-1463
Phone (815) 883-3316

Other providers in Oglesby, IL

All providers in Oglesby, IL · General Practice Dentistry in Illinois

Sources for this page

Verify at the official NPI Registry.