MEDICARE: DR. MARY T. COLE DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry		IL

General Provider Information

NPI Number	:	1710031380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY T. COLE DMD

Provider Business Mailing Address
First Line	:	2727 N OAKLAND AVE
Second Line	:	SUITE 101
City	:	DECATUR
State	:	IL
Zip	:	62526-1586
Country	:	US
Telephone Number	:	217-877-1743
Fax Number	:	217-877-9399

Provider Business Practice Location Address
First Line	:	2727 N OAKLAND AVE
Second Line	:	SUITE 101
City	:	DECATUR
State	:	IL
Zip	:	62526-1586
Country	:	US
Telephone Number	:	217-877-1743
Fax Number	:	217-877-9399

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1942354592 — DR. RONALD N. COLE DMD
Practice Location Address:

2727 N OAKLAND AVE , SUITE 103
DECATUR, IL
62526-1586

Practice Phone: 217-875-4505
Practice Fax: 217-875-4737

1447304738 — RONALD N COLE DMD PC
Practice Location Address:

2727 N OAKLAND AVE , SUITES 101 AND 103
DECATUR, IL
62526-1586

Practice Phone: 217-875-4505
Practice Fax:

1013129436 — DR. MICHAEL ANTHONY HAGE DDS, MS
Practice Location Address:

2727 N OAKLAND AVE , SUITE 106
DECATUR, IL
62526-1586

Practice Phone: 217-875-5010
Practice Fax:

1700099637 — DR. ROBERT J SLUSAR DDS
Practice Location Address:

2727 N OAKLAND AVE , SUITE 106
DECATUR, IL
62526-1586

Practice Phone: 217-875-5010
Practice Fax:

1528353893 — RACHEL SNOW INGRAM D.D.S.
Practice Location Address:

2727 N OAKLAND AVE , SUITE 102
DECATUR, IL
62526-1586

Practice Phone: 217-875-4222
Practice Fax:

1477232023 — DR. MOHAMMAD DOULEH DMD
Practice Location Address:

2727 N OAKLAND AVE
DECATUR, IL
62526-1586

Practice Phone: 217-875-4505
Practice Fax:

Directions to “ DR. MARY T. COLE DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.