Healthcare Provider Details
I. General information
NPI: 1740931492
Provider Name (Legal Business Name): SEHY & HUEY GENERAL AND FAMILY DENTISTRY, P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/14/2022
Last Update Date: 01/14/2022
Certification Date: 01/14/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 SOUTH THIRD STREET
ALTAMONT IL
62411
US
IV. Provider business mailing address
1 SOUTH THIRD STREET
ALTAMONT IL
62411
US
V. Phone/Fax
- Phone: 618-483-6003
- Fax: 618-483-6180
- Phone: 618-483-6003
- Fax: 618-483-6180
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTOPHER
JAMES
SEHY
Title or Position: CO-OWNER
Credential: D.M.D
Phone: 618-483-6003