Dr. Charles L. Proesel Jr., D.D.S.
Dentist, Dental Public Health in Gridley, IL. Individual provider (NPI-1).
NPI number1972508364
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1972508364
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles L. Proesel Jr.
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2005
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223D0001X | Dentist, Dental Public Health | 19A14491 | IL | Yes |
Practice location
205 E Gridley RdGridley, IL 61744-8733
Phone 309-747-2213 · Fax 309-747-3989
Mailing address
Po Box 288Gridley, IL 61744-0288
Phone 309-747-2213 · Fax 309-747-3989
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