| Organization Name: | CARMI DENTAL CLINIC |
| NPI Number: | 1285972828 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | APRIL CHILDERS (DENTAL OPERATIONS SUPERVISOR) |
| Mailing Address: | 1400 W Main St Carmi |
| State: | IL US |
| Postal Code: | 628211387 |
| Phone Number: | 6183824181 |
| Fax Number: | 6183823590 |
| NPI Enumeration Date: | 01/16/2013 |
| NPI Last Update Date: | 01/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |