Healthcare Provider Details

I. General information

NPI: 1083787592
Provider Name (Legal Business Name): ELDON G BARROWES DDS & ASSOC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 WEST WALNUT BLDG #3
JACKSONVILLE IL
62650
US

IV. Provider business mailing address

1515 WEST WALNUT BLDG #3
JACKSONVILLE IL
62650
US

V. Phone/Fax

Practice location:
  • Phone: 217-479-0900
  • Fax: 217-479-0990
Mailing address:
  • Phone: 217-479-0900
  • Fax: 217-479-0990

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. ELDON G BARROWES
Title or Position: PRESIDENT
Credential: DDS
Phone: 217-479-0900