Callie Soer, DMD
Dentist, General Practice in Jacksonville, IL. Individual provider (NPI-1).
NPI number1750123899
StatusActive
Last updated in NPPESJun 10, 2024
Details
- NPI
- 1750123899
- Entity type
- Individual (NPI-1)
- Name
- Callie Soer
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2024
- Certification date
- Jun 10, 2024
- Last updated
- Jun 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019035185 | IL | Yes |
Practice location
200 W Morton AveJacksonville, IL 62650-2812
Phone 217-245-6898
Mailing address
16 Sunset DrBeardstown, IL 62618-1661
Phone 217-491-4520
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