Most Relevant Information
Provider Data
| NPI Number: | 1003023383 |
| Provider Name: | JOHN MARSHALL CASPER DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 01915800 |
Most Important Dates
| Enumeration Date: | 05/17/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
205 N MAIN ST
ANNA
IL
629060489
Practice Location Phone/Fax
| Phone: | 6188332314 |
| Fax: |
Provider Mailing Location
PO BOX 489
205 N MAIN ST
ANNA
IL
629060489
Provider Mailing Phone/Fax
| Phone: | 6188332314 |
| Fax: |