NPI 1093068736

Freeport Family Dental Care, P.C.

Organisation Durable Medical Equipment & Medical Supplies Freeport, IL

Practice location

Address: 1768 S. Rosenstiel Dr, Freeport, IL 61032-6897
Phone: (815) 235-2600
Fax: (815) 235-9846

Authorised official

Name: Donald P Doak
Title: Clinical Director
Phone: (815) 235-2600

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

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Registry record

NPI: 1093068736
Entity type: Organization
NPI issued: 18 Oct 2012
Record last updated: 18 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.