Provider Demographics
NPI:1992019210
Name:JUSTIN SETTLE, D.M.D., P.C.
Entity Type:Organization
Organization Name:JUSTIN SETTLE, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:DEWAYNE
Authorized Official - Last Name:SETTLE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:618-997-6405
Mailing Address - Street 1:1601 EAST DEYOUNG STREET
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IL
Mailing Address - Zip Code:62959-1068
Mailing Address - Country:US
Mailing Address - Phone:618-997-6405
Mailing Address - Fax:618-997-0877
Practice Address - Street 1:1129 N CARBON ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IL
Practice Address - Zip Code:62959-1068
Practice Address - Country:US
Practice Address - Phone:618-997-6405
Practice Address - Fax:618-997-0877
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-28
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019026847122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty