Carrollton Family Dental

Organization Active NPI Dental Clinic/Center · Carrollton, IL

NPI 1952154288 · NPPES record last updated Apr 8, 2024

Key facts

NPI
1952154288
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
Legal business name
CARROLLTON FAMILY DENTAL
Practice address
603 5TH St
Carrollton, IL 62016-1401
Phone
(217) 942-5033
Fax
(217) 942-9503
NPI assigned
Apr 8, 2024
Organization subpart
No

Authorized official

Name
Mrs. Stacy Sue Cox
Title
Office Manager
Phone
(618) 520-0127

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

603 5th St
Carrollton, IL 62016
Phone (217) 942-5033

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Yes

Addresses

Primary practice location

603 5TH St
Carrollton, IL 62016-1401

Mailing address

603 5TH St
Carrollton, IL 62016-1401
Phone (217) 942-5033

Other providers in Carrollton, IL

All providers in Carrollton, IL · Dental Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.