Tanya L Desanto, DDS
Tanya L Desanto, DDS is a Dentist in Springfield, Illinois. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
2900 Greenbriar DrSpringfield, IL 62704-6418
Phone: (217) 546-0412
Fax: (217) 546-0919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X |
|---|
Record details
| NPI number | 1801517743 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robin Hayes — Office Manager · (217) 546-0412 |
| Other names | Prairie Dental Group |
| NPI enumerated | September 8, 2022 |
| Last updated in NPPES | October 4, 2022 |
| Certification date | October 4, 2022 |
| Mailing address | 2900 Greenbriar Dr, Springfield, IL 62704-6418 |
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