Central Illinois Center For Tmj And Facial Pain, P.c.

  • 1346546421 NPI Number
  • |
  • Actived: 8 years ago
  • |
According to our database, NPI number for Central Illinois Center For Tmj And Facial Pain, P.c. is 1346546421 and actived since Monday, February 7 2011. Central Illinois Center For Tmj And Facial Pain, P.c. is an Organization provider specializes in Dentist. Provider information was last updated on 09/30/2013.

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Overview of Central Illinois Center For Tmj And Facial Pain, P.c.

  • NPI number: 1811534621
  • Provider type: Organization
  • Specialty: Dentist
  • Active since: 02/07/2011
  • Last updated: 09/30/2013

Primary Scrop of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 019021995
  • License State: IL

Provider Mailing Address

  • Address: 731 Sabrina Dr
    Suite A
    East Peoria, IL 61611
  • Phone: 309-699-1300
  • Fax:

Provider Practice Location

  • Address: 731 Sabrina Dr
    Suite A
    East Peoria, IL 61611
  • Phone: 309-699-1300
  • Fax:

Authorized Official

  • Name: DR. Jack Glenn Walz DDS
  • Position/Title: Provider
  • Telephone Number: 309-699-1300

Scope of Practice

  • Taxonomy Code: 122300000X
  • Specialty: Dentist
  • License Number: 019021995
  • License State: IL
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for Central Illinois Center For Tmj And Facial Pain, P.c.?
  • A: The npi number for Central Illinois Center For Tmj And Facial Pain, P.c. is 1346546421.
  • Q: What are Central Illinois Center For Tmj And Facial Pain, P.c.'s specialties?
  • A: Central Illinois Center For Tmj And Facial Pain, P.c.'s specialties are Dentist and different specialities.
  • Q: Where is Central Illinois Center For Tmj And Facial Pain, P.c. business practice location?
  • A: Central Illinois Center For Tmj And Facial Pain, P.c. business practice location is 731 Sabrina Dr, East Peoria, IL 61611.
  • Q: How to contact Central Illinois Center For Tmj And Facial Pain, P.c.?
  • A: You can contact Central Illinois Center For Tmj And Facial Pain, P.c. via 309-699-1300.
  • Q: What is the authorized official for Central Illinois Center For Tmj And Facial Pain, P.c.?
  • A: The authorized office name is DR. Jack Glenn Walz DDS with position/title is Provider and you can reach the authorized official via phone number 3096991300.