Groesch, Charles William

Groesch, Charles William is an individual health care provider with primary practice located at 2534 Farragut Drive , Springfield IL 62704. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Groesch, Charles William can be contacted via phone (217) 546-4674.

Contact Information

Primary practice address
2534 Farragut Drive Springfield IL 62704
Phone: (217) 546-4674
Fax: (217) 546-4659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X Illinois

Profile Details

NPI number 1366520736
LBN Legal business name Groesch, Charles William
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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