Restoration Dental LLC- Marshall Dental Professionals
Organization Active NPI General Practice Dentistry · Marshall, IL
NPI 1326311630 · NPPES record last updated Oct 1, 2015
Key facts
- NPI
- 1326311630
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- RESTORATION DENTAL LLC- MARSHALL DENTAL PROFESSIONALS
- Practice address
- 815 N 2ND St
Marshall, IL 62441-1086 - Phone
- (217) 826-5181
- Fax
- (217) 826-2651
- NPI assigned
- Feb 16, 2012
- Organization subpart
- No
Authorized official
- Name
- Jamie Vilk
- Title
- Operations Manager
- Phone
- (217) 348-7770
Practitioners 1
-
Tabitha Hanson, DMD
National Provider Directory
Locations
815 N 2nd St
Marshall, IL 62441
Phone (217) 826-5181
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes |
Addresses
Primary practice location
815 N 2ND St
Marshall, IL 62441-1086
Mailing address
903 18TH St.
Charleston, IL 61920
Phone (217) 348-7770
Other names
- Marshall Dental Professionals
Other providers in Marshall, IL
- Holly Newkirk
- Marilyn Sue Patton
- Bret Tibay Pelesco
- Denise Pine-Mattas
- Gayle Rayhel
- Rhoads to Healthy LLC
- Selah Partners, LLC
- SGM Physical Therapy
- Shore-Murphy and Associates, LLC
- Sadie Belle Siddons
All providers in Marshall, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.