Mountain Bay Dental Llc is a Dental Clinic in Champaign, Illinois. It is located at 3510 Marianna Dr, Champaign, IL and its contact number is 715-496-1128. The authorized person for Mountain Bay Dental Llc is Mrs. Lanae W Johnson
who is Manager of the clinic and their contact number is 715-496-1128. The primary license number for Mountain Bay Dental Llc is 1001483 (General Practice) in Wisconsin. Mountain Bay Dental Llc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Mountain Bay Dental Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Mountain Bay Dental Llc
Specialization:
General Practice Dentistry
Clinic Address:
3510 Marianna Dr, Champaign, Illinois, 61822-9502
Phone:
715-496-1128
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Lanae W Johnson
Position:
Manager
Contact Number:
715-496-1128
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mountain Bay Dental Llc clinic are as mentioned below.
NPI Number:
1295268019
NPI Enumeration Date:
08 Apr, 2017
NPI Last Update On:
08 Apr, 2017
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mountain Bay Dental Llc are as mentioned below.
Specialization
License Number
State
Status
General Practice
1001483
Wisconsin
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mountain Bay Dental Llc 5702 Memorial Ct, Weston, Wisconsin
Zip:
54476-6502
Phone Number:
715-496-1128
Patients can reach Mountain Bay Dental Llc at 3510 Marianna Dr, Champaign, Illinois or can call to book an appointment on 715-496-1128. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.