Gary R. Dettman, DDS
Dentist · Marengo, IL
Practice location
110 E Washington StMarengo, IL 60152-3107
- Phone
- (815) 568-1202
NPI record
- NPI
- 1851470470
- Entity type
- Individual (Type 1)
- Enumeration date
- November 3, 2006
- Last updated
- September 9, 2008
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
019-020199 | IL |
About Dr. Dettman
Gary R. Dettman, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 110 E Washington St, Marengo, IL 60152-3107. The NPI number 1851470470 was assigned on November 3, 2006 and the record was last updated on September 9, 2008.
Dr. Dettman lists a license in the registry: #019-020199 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Gary R. Dettman, DDS?
The NPI number is 1851470470.
What is the phone number of Dr. Dettman?
The phone number listed for the practice location is (815) 568-1202.
Where is Dr. Dettman located?
110 E Washington St, Marengo, IL 60152-3107.
What is the taxonomy code for Dr. Dettman?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Dentist providers in Marengo
- Martha K. Basile, DDS110 E Washington St
- Liliana Paz, DDS110 E Washington St
- Manfred Strohschein105 S State St